Individual
BRUCE JEYCEN SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 S DECATUR BLVD, LAS VEGAS, NV 89107-3910
(702) 998-9607
Mailing address
525 S DECATUR BLVD, LAS VEGAS, NV 89107-3910
(702) 998-9607
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
NV
372600000X
Adult Companion
—
NV
3747A0650X
Attendant Care Provider
—
NV
3747P1801X
Personal Care Attendant
Primary
—
NV
376J00000X
Homemaker
—
NV
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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