Individual
ERICSON DEGUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6725 S EASTERN AVE, LAS VEGAS, NV 89119-3948
(702) 331-6200
(702) 331-6201
Mailing address
6648 CHAPEL HEIGHTS CT, LAS VEGAS, NV 89156-7068
(702) 497-4955
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
NV
3747A0650X
Attendant Care Provider
Primary
—
NV
3747P1801X
Personal Care Attendant
—
NV
376J00000X
Homemaker
—
NV
385H00000X
Respite Care
—
NV
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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