Tavon Fultz
Tavon Fultz is a Homemaker in North las Vegas, Nevada. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
955 W Craig Rd Ste 114North las Vegas, NV 89032-0284
Phone: (702) 874-4484
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X |
|---|---|
| Homemaker | Taxonomy 376J00000X |
Record details
| NPI number | 1831816149 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 26, 2022 |
| Last updated in NPPES | October 26, 2022 |
| Certification date | October 26, 2022 |
| Mailing address | 955 W Craig Rd Ste 114, North Las Vegas, NV 89032-0284 |
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