Lataundra Baxstrum
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1609596709
StatusActive
Last updated in NPPESAug 30, 2022
Details
- NPI
- 1609596709
- Entity type
- Individual (NPI-1)
- Name
- Miss Lataundra Baxstrum
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2022
- Certification date
- Aug 30, 2022
- Last updated
- Aug 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
913 E Ogden AveLas Vegas, NV 89101-4234
Phone 702-689-5015
Mailing address
913 E Ogden AveLas Vegas, NV 89101-4234
Phone 702-689-5015
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