Jose Bacay
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1336764166
StatusActive
Last updated in NPPESJun 8, 2020
Details
- NPI
- 1336764166
- Entity type
- Individual (NPI-1)
- Name
- Jose Bacay
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2020
- Certification date
- Jun 8, 2020
- Last updated
- Jun 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
8297 Golden Cypress AveLas Vegas, NV 89117-9136
Phone 702-612-6159
Mailing address
8297 Golden Cypress AveLas Vegas, NV 89117-9136
Phone 702-612-6159
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