Provider Demographics
NPI:1467204800
Name:CATABAY, JOELYN BULARON
Entity Type:Individual
Prefix:
First Name:JOELYN
Middle Name:BULARON
Last Name:CATABAY
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 1:4530 S EASTERN AVE STE 3-4
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-6181
Mailing Address - Country:US
Mailing Address - Phone:702-476-3345
Mailing Address - Fax:702-920-8596
Practice Address - Street 1:4530 S EASTERN AVE STE 3-4
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6181
Practice Address - Country:US
Practice Address - Phone:702-476-3345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner