Coretha Burrell
Technician, Personal Care Attendant in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1174282990
StatusActive
Last updated in NPPESDec 8, 2021
Details
- NPI
- 1174282990
- Entity type
- Individual (NPI-1)
- Name
- Coretha Burrell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2021
- Certification date
- Dec 8, 2021
- Last updated
- Dec 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
3829 Bella Legato AveNorth Las Vegas, NV 89081-4047
Phone 725-206-8757
Mailing address
3829 Bella Legato AveNorth Las Vegas, NV 89081-4047
Phone 725-206-8757
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