Mildred Wilson
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1891304598
StatusActive
Last updated in NPPESJul 28, 2020
Details
- NPI
- 1891304598
- Entity type
- Individual (NPI-1)
- Name
- Mildred Wilson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2020
- Certification date
- Jul 28, 2020
- Last updated
- Jul 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
1745 N Nellis Blvd Ste ALas Vegas, NV 89115-3673
Phone 702-459-7500
Mailing address
1745 N Nellis Blvd Ste ALas Vegas, NV 89115-3673
Phone 702-459-7500
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