Individual
CATALINA MEJIA ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6725 S EASTERN AVE, LAS VEGAS, NV 89119-3948
(702) 646-2722
Mailing address
6725 S EASTERN AVE, LAS VEGAS, NV 89119-3948
(702) 646-2722
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26.24701650
PCS
NV
Enumeration date
04/12/2019
Last updated
04/12/2019
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