Octaver Ambriz
Home Health Aide in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1528608015
StatusActive
Last updated in NPPESJan 13, 2020
Details
- NPI
- 1528608015
- Entity type
- Individual (NPI-1)
- Name
- Octaver Ambriz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 13, 2020
- Certification date
- Jan 13, 2020
- Last updated
- Jan 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
1517 Santa Rosalia DrNorth Las Vegas, NV 89031-1010
Phone 702-929-3297 · Fax 702-750-9927
Mailing address
1517 Santa Rosalia DrNorth Las Vegas, NV 89031-1010
Phone 702-929-3297 · Fax 702-750-9927
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