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Lazaro Mario Sotolongo

Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).

NPI number1982183877
StatusActive
Last updated in NPPESAug 10, 2018

Details

NPI
1982183877
Entity type
Individual (NPI-1)
Name
Lazaro Mario Sotolongo
Sex
Female
Sole proprietor
No
Enumeration date
Aug 10, 2018
Last updated
Aug 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant–NVYes
3747A0650X Technician, Attendant Care Provider–NV
376J00000X Homemaker–NV

Practice location

6725 S. Eastern Ave Suite 1
Las Vegas, NV 89119

Phone 702-646-2722

Mailing address

6725 S Eastern Ave Ste 1
Las Vegas, NV 89119-3949

Phone 702-646-2722

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