Provider Demographics
NPI:1093308298
Name:LANGUIT, DAISY JEANETTE
Entity Type:Individual
Prefix:
First Name:DAISY
Middle Name:JEANETTE
Last Name:LANGUIT
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 1:8004 LYNDSI AVE NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-5539
Mailing Address - Country:US
Mailing Address - Phone:505-514-1044
Mailing Address - Fax:
Practice Address - Street 1:8004 LYNDSI AVE NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-5539
Practice Address - Country:US
Practice Address - Phone:505-514-1044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide