Individual
JOSEFA BUSTOS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 E TROPICANA AVE STE 199, LAS VEGAS, NV 89119-8323
(725) 214-7776
(725) 214-7768
Mailing address
1516 E TROPICANA AVE STE 199, LAS VEGAS, NV 89119-8323
(725) 214-7776
(725) 214-7768
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106087514
—
NV
Enumeration date
08/14/2020
Last updated
06/27/2024
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