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Individual

MR. CARLOS JUAN FRONTERA SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PCA

Contact information

Practice address
2700 S VALLEY VIEW BLVD APT C1, LAS VEGAS, NV 89102-5918
(702) 953-6385
Mailing address
8670 W CHEYENNE AVE STE 135, LAS VEGAS, NV 89129-7460
(702) 822-2600

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
04/24/2018
Last updated
04/24/2018
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