Octavius Lee
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1730840323
StatusActive
Last updated in NPPESJan 5, 2022
Details
- NPI
- 1730840323
- Entity type
- Individual (NPI-1)
- Name
- Octavius Lee
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2022
- Certification date
- Jan 5, 2022
- Last updated
- Jan 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
2880 E Flamingo Rd Ste GLas Vegas, NV 89121-5223
Phone 725-251-2795
Mailing address
2880 E Flamingo Rd Ste GLas Vegas, NV 89121-5223
Phone 725-251-2795
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