Tierra McKinnon
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1295581908
StatusActive
Last updated in NPPESApr 24, 2024
Details
- NPI
- 1295581908
- Entity type
- Individual (NPI-1)
- Name
- Tierra McKinnon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2024
- Certification date
- Apr 24, 2024
- Last updated
- Apr 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | NV | Yes |
| 3747A0650X | Technician, Attendant Care Provider | – | NV | |
| 376J00000X | Homemaker | – | NV | |
| 372600000X | Adult Companion | – | NV | |
| 372500000X | Chore Provider | – | NV |
Practice location
2860 E Flamingo Rd Ste KLas Vegas, NV 89121-5270
Phone 702-318-5005 · Fax 702-318-5006
Mailing address
2860 E Flamingo Rd Ste KLas Vegas, NV 89121-5270
Phone 702-318-5005 · Fax 702-318-5006
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