Individual
ANDY JOHAN VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4340 WELTER AVE, LAS VEGAS, NV 89104-5341
(702) 574-2911
Mailing address
4340 WELTER AVE, LAS VEGAS, NV 89104-5341
(702) 574-2911
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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