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Quantine Deshawnae Ficklin

Technician, Personal Care Attendant in North Las Vegas, NV. Individual provider (NPI-1).

NPI number1669972279
StatusActive
Last updated in NPPESFeb 20, 2018

Details

NPI
1669972279
Entity type
Individual (NPI-1)
Name
Quantine Deshawnae Ficklin
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2018
Last updated
Feb 20, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant–NVYes
372500000X Chore Provider–NV
372600000X Adult Companion–NV
3747A0650X Technician, Attendant Care Provider–NV
376J00000X Homemaker–NV

Practice location

3413 W Gilmore Ave
North Las Vegas, NV 89032-1401

Phone 702-945-1146

Mailing address

3413 W Gilmore Ave
North Las Vegas, NV 89032-1401

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