Rayton Demon Glass
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1962399485
StatusActive
Last updated in NPPESJun 18, 2025
Details
- NPI
- 1962399485
- Entity type
- Individual (NPI-1)
- Name
- Rayton Demon Glass
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2025
- Certification date
- Jun 18, 2025
- Last updated
- Jun 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
4580 S Eastern Ave Ste 30Las Vegas, NV 89119-6100
Phone 702-954-4087
Mailing address
4580 S Eastern Ave Ste 30Las Vegas, NV 89119-6100
Phone 702-954-4087
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