Lashaun D Mack
Technician, Personal Care Attendant in Henderson, NV. Individual provider (NPI-1).
NPI number1336714971
StatusActive
Last updated in NPPESMay 25, 2021
Details
- NPI
- 1336714971
- Entity type
- Individual (NPI-1)
- Name
- Lashaun D Mack
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 25, 2021
- Certification date
- May 25, 2021
- Last updated
- May 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
2961 E Serene AveHenderson, NV 89074-6507
Phone 702-948-4848 · Fax 702-948-4845
Mailing address
2961 E Serene AveHenderson, NV 89074-6507
Phone 702-948-4848 · Fax 702-948-4845
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