IDELISA CORDERO SEGURA CORDERO NPI 1235647694

NPI Information

Idelisa Cordero Segura Cordero is a personal care attendant technician in Las Vegas, NV. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards Idelisa Cordero Segura Cordero NPI is 1235647694. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3544 INDIOS AVE
LAS VEGAS, NV
ZIP 89121-914
Phone: (702) 573-6296

The enumeration date for this NPI number is 1/18/2018 and was last updated on 1/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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