BRYAN JAMES TABANIAG JR MCMILLIN

LAS VEGAS, NV
NPI1700528353
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-04-12
Last Update Date2022-04-12
Business Address
BRYAN JAMES TABANIAG JR MCMILLIN
2820 W CHARLESTON BLVD STE B-21
LAS VEGAS, NV 89102-1942
Phone number: 702-413-6011
Mailing Address
BRYAN JAMES TABANIAG JR MCMILLIN
2820 W CHARLESTON BLVD STE B-21
LAS VEGAS, NV 89102-1942
Phone number: 702-413-6011