Gary D Hall
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1164064028
StatusActive
Last updated in NPPESOct 11, 2019
Details
- NPI
- 1164064028
- Entity type
- Individual (NPI-1)
- Name
- Gary D Hall
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2019
- Last updated
- Oct 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 372600000X | Adult Companion | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
3468 E Sahara Ave Ste 165Las Vegas, NV 89104-4827
Phone 702-207-0842
Mailing address
3468 E Sahara Ave Ste 165Las Vegas, NV 89104-4827
Phone 702-207-0842
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