Evangeline Agoncillo
Homemaker in Las Vegas, NV. Individual provider (NPI-1).
NPI number1164063475
StatusActive
Last updated in NPPESOct 8, 2019
Details
- NPI
- 1164063475
- Entity type
- Individual (NPI-1)
- Name
- Evangeline Agoncillo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2019
- Last updated
- Oct 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
Practice location
4850 W Flamingo RdLas Vegas, NV 89103-3705
Phone 702-871-9917
Mailing address
9235 Marlia StLas Vegas, NV 89123-3710
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All 309 Homemaker providers in Las Vegas · All 80,918 providers in Las Vegas
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