Meryred Gonzalez Martinez
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1265219984
StatusActive
Last updated in NPPESSep 14, 2023
Details
- NPI
- 1265219984
- Entity type
- Individual (NPI-1)
- Name
- Meryred Gonzalez Martinez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2023
- Certification date
- Sep 14, 2023
- Last updated
- Sep 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 376J00000X | Homemaker | – | – |
Practice location
4660 S Eastern Ave Ste 201Las Vegas, NV 89119-6139
Phone 702-462-5251
Mailing address
4660 S Eastern Ave Ste 201Las Vegas, NV 89119-6139
Phone 702-462-5251
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