Mackenzie Taylor
Technician, Personal Care Attendant in Henderson, NV. Individual provider (NPI-1).
NPI number1689433765
StatusActive
Last updated in NPPESMar 19, 2024
Details
- NPI
- 1689433765
- Entity type
- Individual (NPI-1)
- Name
- Mackenzie Taylor
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2024
- Certification date
- Mar 18, 2024
- Last updated
- Mar 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | 1703303460 | NV | Yes |
Practice location
1100 Center St Apt 1824Henderson, NV 89015-5294
Phone 725-314-9790
Mailing address
1100 Center St Apt 1824Henderson, NV 89015-5294
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