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Jaycob Aaron Miller

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

NPI number1982190153
StatusActive
Last updated in NPPESJul 10, 2018

Details

NPI
1982190153
Entity type
Individual (NPI-1)
Name
Jaycob Aaron Miller
Sex
Male
Sole proprietor
No
Enumeration date
Jul 10, 2018
Last updated
Jul 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes
372500000X Chore Provider––
372600000X Adult Companion––
3747A0650X Technician, Attendant Care Provider––
376J00000X Homemaker––

Practice location

2860 E Flamingo Rd Ste K
Las Vegas, NV 89121-5270

Phone 702-318-5005

Mailing address

4329 Chocolate St
Las Vegas, NV 89122-5415

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