Edmena Burney Champion
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1669976338
StatusActive
Last updated in NPPESMar 19, 2018
Details
- NPI
- 1669976338
- Entity type
- Individual (NPI-1)
- Name
- Edmena Burney Champion
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2018
- Last updated
- Mar 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
2780 S Jones Blvd Ste 130Las Vegas, NV 89146-5641
Phone 702-463-0085
Mailing address
2780 S Jones Blvd Ste 130Las Vegas, NV 89146-5641
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