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Individual

BAYANI LEGASPI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2860 E FLAMINGO RD STE K, LAS VEGAS, NV 89121-5270
(702) 318-5005
Mailing address
1827 ADONIS AVE, HENDERSON, NV 89074-5218

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
Primary
376J00000X
Homemaker

Other

Enumeration date
05/15/2019
Last updated
05/15/2019
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