Jessica A Lopez
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1962294520
StatusActive
Last updated in NPPESMay 20, 2025
Details
- NPI
- 1962294520
- Entity type
- Individual (NPI-1)
- Name
- Jessica A Lopez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2025
- Certification date
- May 20, 2025
- Last updated
- May 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
4510 W Charleston BlvdLas Vegas, NV 89102-1502
Phone 702-331-4161
Mailing address
4510 W Charleston BlvdLas Vegas, NV 89102-1502
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