Provider Demographics
NPI:1538783444
Name:PACIA, ALDRIN
Entity type:Individual
Prefix:
First Name:ALDRIN
Middle Name:
Last Name:PACIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4355 S DURANGO DR APT 250
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8638
Mailing Address - Country:US
Mailing Address - Phone:702-747-1184
Mailing Address - Fax:
Practice Address - Street 1:4355 S DURANGO DR APT 250
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8638
Practice Address - Country:US
Practice Address - Phone:702-747-1184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant