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NPI Code Detail

MEDICARE: JAMAIA DAMETRICE GRIFFIN

MEDICARE: JAMAIA DAMETRICE GRIFFIN
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 : 1235097957
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMAIA DAMETRICE GRIFFIN
Provider Business Mailing Address
First Line : 1489 W WARM SPRINGS RD STE 110
Second Line :
City : HENDERSON
State : NV
Zip : 89014-7367
Country : US
Telephone Number : 725-243-9274
Fax Number :
Provider Business Practice Location Address
First Line : 1489 W WARM SPRINGS RD STE 110
Second Line :
City : HENDERSON
State : NV
Zip : 89014-7367
Country : US
Telephone Number : 725-243-9274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ JAMAIA DAMETRICE GRIFFIN ” Practice Location

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