Mickelle Williamson
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1982117206
StatusActive
Last updated in NPPESFeb 15, 2024
Details
- NPI
- 1982117206
- Entity type
- Individual (NPI-1)
- Name
- Mickelle Williamson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2017
- Certification date
- Feb 15, 2024
- Last updated
- Feb 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 106S00000X | Behavior Technician | – | – | |
| 3747A0650X | Technician, Attendant Care Provider | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
3656 N Rancho DrLas Vegas, NV 89130-3172
Phone 702-916-2840
Mailing address
3656 N Rancho DrLas Vegas, NV 89130-3172
Phone 702-916-2840
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