Michelle Couillard
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1639986102
StatusActive
Last updated in NPPESDec 17, 2024
Details
- NPI
- 1639986102
- Entity type
- Individual (NPI-1)
- Name
- Michelle Couillard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2024
- Certification date
- Dec 17, 2024
- Last updated
- Dec 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
4245 S Grand Canyon DrLas Vegas, NV 89147-7161
Phone 725-745-3741
Mailing address
4245 S Grand Canyon DrLas Vegas, NV 89147-7161
Phone 725-745-3741
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