NPI 1043740442

Paparex Edirin Minabowan

Practitioner Driver Las Vegas, NV

Practice location

Address: 1810 E Sahara Ave # 108, Las Vegas, NV 89104-3707
Phone: (702) 822-0447
Mailing address: 11000 S Eastern Ave APT 1325, Henderson, NV 89052-2964

Registered specialties (3)

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence NV20171341089 (NV)

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Home Health Agency

Agencies Taxonomy 251E00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Registry record

NPI: 1043740442
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2017
Record last updated: 18 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.