ELMER DE VERA TIQUI

LAS VEGAS, NV
NPI1528846359
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-09-21
Last Update Date2023-09-21
Business Address
ELMER DE VERA TIQUI
4055 SPENCER ST STE 109
LAS VEGAS, NV 89119-5250
Phone number: 702-405-9565
Mailing Address
ELMER DE VERA TIQUI
4055 SPENCER ST STE 109
LAS VEGAS, NV 89119-5250
Phone number: 702-405-9565