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NPI Code Detail

MEDICARE: GLORIA ILAR

MEDICARE:   GLORIA  ILAR
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 : 1205649720
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA ILAR
Provider Business Mailing Address
First Line : 4836 BLUE ROSE ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-2673
Country : US
Telephone Number : 702-426-7299
Fax Number :
Provider Business Practice Location Address
First Line : 4836 BLUE ROSE ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-2673
Country : US
Telephone Number : 702-426-7299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2025
Last Update Date : 01/29/2025

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Directions to “ GLORIA ILAR ” Practice Location

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