Sandra San Miguel
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1235773003
StatusActive
Last updated in NPPESNov 4, 2019
Details
- NPI
- 1235773003
- Entity type
- Individual (NPI-1)
- Name
- Sandra San Miguel
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2019
- Last updated
- Nov 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
2820 W Charleston BlvdLas Vegas, NV 89102-1942
Phone 702-413-6011 · Fax 702-988-8780
Mailing address
2820 W Charleston BlvdLas Vegas, NV 89102-1942
Phone 702-413-6011 · Fax 702-988-8780
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