Healthcare Provider Details

I. General information

NPI: 1265263099
Provider Name (Legal Business Name): NORMA LLAMAS IZAZAGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2024
Last Update Date: 08/13/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4455 S JONES BLVD SUITE 1
LAS VEGAS NV
89103
US

IV. Provider business mailing address

4455 S JONES BLVD SUITE 1
LAS VEGAS NV
89103
US

V. Phone/Fax

Practice location:
  • Phone: 702-485-4838
  • Fax: 702-485-4837
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: