Trujillo, Andrea

Trujillo, Andrea is an individual health care provider with primary practice located at 3020 E Bonanza Suite 160-A , Las Vegas NV 89101. She recently has only one registered license in Behavioral Health & Social Service Providers / Adult Development & Aging, which is considered as her primary health care specialty. Trujillo, Andrea can be contacted via phone (702) 771-9128.

Contact Information

Primary practice address
3020 E Bonanza Suite 160-A Las Vegas NV 89101
Phone: (702) 771-9128
Fax: (702) 982-3069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 20131063992 Nevada

Profile Details

NPI number 1801211891
LBN Legal business name Trujillo, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2014
Last updated Feb 27th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801211891 NPPES
Nevada MEDICAID 46-1989499

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