Provider Demographics
NPI:1447968664
Name:BUFFIN, JAYLAH
Entity type:Individual
Prefix:
First Name:JAYLAH
Middle Name:
Last Name:BUFFIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8141 CIMARRON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-1664
Mailing Address - Country:US
Mailing Address - Phone:281-619-0876
Mailing Address - Fax:
Practice Address - Street 1:8141 CIMARRON RIDGE DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-1664
Practice Address - Country:US
Practice Address - Phone:281-619-0876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant