Sir'Johntae E'Mon Lamaria Adams
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1548071129
StatusActive
Last updated in NPPESJan 14, 2025
Details
- NPI
- 1548071129
- Entity type
- Individual (NPI-1)
- Name
- Sir'Johntae E'Mon Lamaria Adams
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2025
- Certification date
- Jan 14, 2025
- Last updated
- Jan 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 3747A0650X | Technician, Attendant Care Provider | – | – |
Practice location
7517 Cobal Canyon LnLas Vegas, NV 89129-2903
Phone 702-339-0356 · Fax 702-747-4434
Mailing address
7517 Cobal Canyon LnLas Vegas, NV 89129-2903
Phone 702-339-0356 · Fax 702-747-4434
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