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James Godek

Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).

NPI number1902450331
StatusActive
Last updated in NPPESJul 24, 2019

Details

NPI
1902450331
Entity type
Individual (NPI-1)
Name
James Godek
Sex
Male
Sole proprietor
No
Enumeration date
Jul 24, 2019
Last updated
Jul 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

Safe At Home LLC
1775 E Tropicana Ave Ste 16
Las Vegas, NV 89119

Phone 702-963-6044

Mailing address

Safe At Home LLC
1775 E Tropicana Ave Ste 16
Las Vegas, NV 89119

Phone 702-963-6044

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