Individual provider · Type 1 NPI

Evangeline Agoncillo

Homemaker · Las Vegas, NV

NPI number 1164063475 Active

Practice location

4850 W Flamingo Rd
Las Vegas, NV 89103-3705

Mailing address

9235 Marlia St
Las Vegas, NV 89123-3710

Specialties and licenses

TaxonomyCodeLicense
Homemaker Primary 376J00000XNone listed

Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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About NPI 1164063475

Evangeline Agoncillo's National Provider Identifier is 1164063475, issued on Oct 8, 2019. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 8, 2019.