Individual
JASMINE TABOADA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
2890 BELCASTRO ST, LAS VEGAS, NV 89117-3036
(702) 203-3450
Mailing address
7160 DARBY AVE, LAS VEGAS, NV 89117-3122
(702) 203-3450
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005702029
JCR HOME CARE
NV
01
—
005702678
DESERT INN RESIDENTIAL
NV
Enumeration date
05/31/2007
Last updated
07/08/2007
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