Olga Fomicheva
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1962040964
StatusActive
Last updated in NPPESDec 20, 2019
Details
- NPI
- 1962040964
- Entity type
- Individual (NPI-1)
- Name
- Olga Fomicheva
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2019
- Certification date
- Dec 20, 2019
- Last updated
- Dec 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
7762 W Sahara AveLas Vegas, NV 89117-2700
Phone 702-240-7711
Mailing address
7762 W Sahara AveLas Vegas, NV 89117-2700
Phone 702-240-7711
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