Individual
TAJA-RAE BAGUIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
10561 JEFFREYS ST STE 230, HENDERSON, NV 89052-4268
(702) 565-6565
Mailing address
10561 JEFFREYS ST STE 230, HENDERSON, NV 89052-4268
(702) 565-6565
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
180732
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180732
NBSSA
—
Enumeration date
05/09/2018
Last updated
06/16/2018
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