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NPI Code Detail

MEDICARE: ROSARIO G CAMAGONG

MEDICARE: ROSARIO G CAMAGONG
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1265063614
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSARIO G CAMAGONG
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 : 528 E OAKEY BLVD # 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-1403
Country : US
Telephone Number : 702-686-3372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2020
Last Update Date : 02/03/2020

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Directions to “ ROSARIO G CAMAGONG ” Practice Location

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