Individual
CARLOS ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2560 E SUNSET RD STE 106, LAS VEGAS, NV 89120-3517
(702) 202-0552
(702) 224-2157
Mailing address
404 CACTUS BLOOM LN, LAS VEGAS, NV 89107-1226
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B4070349
—
CA
Enumeration date
05/19/2021
Last updated
05/19/2021
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