Individual provider · NPI-1
Tanya Banuelos
Technician, Personal Care Attendant · Pahrump, NV
NPI number1841785094
StatusActive
Last updated in NPPESJun 28, 2018
Details
- NPI
- 1841785094
- Entity type
- Individual (NPI-1)
- Name
- Tanya Banuelos
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 28, 2018
- Last updated
- Jun 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | NV | Yes |
| 372500000X | Chore Provider | – | NV | |
| 372600000X | Adult Companion | – | NV | |
| 3747A0650X | Technician, Attendant Care Provider | – | NV | |
| 376J00000X | Homemaker | – | NV |
Practice location
1840 E Calvada Blvd Ste 9Pahrump, NV 89048-5843
Phone 702-807-5999
Mailing address
1190 S Comstock Cir WPahrump, NV 89048-5446
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