Michael Agcaoili Villanueva
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1205337151
StatusActive
Last updated in NPPESFeb 26, 2018
Details
- NPI
- 1205337151
- Entity type
- Individual (NPI-1)
- Name
- Michael Agcaoili Villanueva
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2018
- Last updated
- Feb 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 372500000X | Chore Provider | – | – | |
| 372600000X | Adult Companion | – | – | |
| 3747A0650X | Technician, Attendant Care Provider | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
2001 S Jones Blvd Ste E-3Las Vegas, NV 89146-3182
Phone 702-425-3377 · Fax 702-997-7552
Mailing address
5975 Notre Dame AveLas Vegas, NV 89110-1832
Phone 702-501-0860
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