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NPI Code Detail

MEDICARE: RENE ESCOBAR-FLORES

MEDICARE: RENE ESCOBAR-FLORES
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 : 1144722018
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENE ESCOBAR-FLORES
Provider Business Mailing Address
First Line : 2330 PASEO DEL PRADO STE C307
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-0076
Country : US
Telephone Number : 725-600-7953
Fax Number : 702-664-6993
Provider Business Practice Location Address
First Line : 2330 PASEO DEL PRADO STE C307
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-0076
Country : US
Telephone Number : 725-600-7953
Fax Number : 702-664-6993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2018
Last Update Date : 03/06/2018

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Directions to “ RENE ESCOBAR-FLORES ” Practice Location

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