Enrique Vazquez
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1669010674
StatusActive
Last updated in NPPESDec 20, 2019
Details
- NPI
- 1669010674
- Entity type
- Individual (NPI-1)
- Name
- Enrique Vazquez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 20, 2019
- Certification date
- Dec 20, 2019
- Last updated
- Dec 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
6431 W Sahara Ave Ste 200Las Vegas, NV 89146-3064
Phone 702-871-0002
Mailing address
4840 Yuma AveLas Vegas, NV 89104-5842
Phone 702-351-0724
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