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NPI Code Detail

MEDICARE: ZOE WANG

MEDICARE:   ZOE  WANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1013564731
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOE WANG
Provider Business Mailing Address
First Line : 528 E OAKEY BLVD # 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-1403
Country : US
Telephone Number : 702-686-3372
Fax Number :
Provider Business Practice Location Address
First Line : 3609 MELONIES DR UNIT 90
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3604
Country : US
Telephone Number : 702-690-8925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2019
Last Update Date : 08/19/2019

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Directions to “ ZOE WANG ” Practice Location

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