ADRIAN LICANO

LAS VEGAS, NV
NPI1700387800
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2018-02-23
Last Update Date2018-02-23
Business Address
ADRIAN LICANO
820 RANCHO LN STE 40
LAS VEGAS, NV 89106-3806
Phone number: 702-366-0875
Mailing Address
ADRIAN LICANO
820 RANCHO LN STE 40
LAS VEGAS, NV 89106-3806
Phone number: 702-366-0875