Individual
MACIEL ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
343 FAIRVIEW DR STE 101, CARSON CITY, NV 89701-5389
(775) 887-5683
Mailing address
3131 MINONEE LN, CARSON CITY, NV 89701-3456
(775) 338-5110
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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