Provider Demographics
NPI:1972303469
Name:GUDINO COVARRUBIAS, ERIKA BELEN
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:BELEN
Last Name:GUDINO COVARRUBIAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:BELEN
Other - Last Name:GUDINO COVARRUBIAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1128 ABODAN ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89142
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LV PERSONAL CARE
Practice Address - Street 2:4550 W OAKLEY #10R A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102
Practice Address - Country:US
Practice Address - Phone:702-405-6811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant