Diderot Jean
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1932818655
StatusActive
Last updated in NPPESNov 21, 2022
Details
- NPI
- 1932818655
- Entity type
- Individual (NPI-1)
- Name
- Diderot Jean
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2022
- Certification date
- Nov 21, 2022
- Last updated
- Nov 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
4245 S Grand Canyon Dr Ste 226Las Vegas, NV 89147-7162
Phone 702-751-0356
Mailing address
4245 S Grand Canyon Dr Ste 226Las Vegas, NV 89147-7162
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