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NPI Code Detail

MEDICARE: ANTONIO SOLANO

MEDICARE:   ANTONIO  SOLANO
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
13747A0650XAttendant Care Provider
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1346740057
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTONIO SOLANO
Provider Business Mailing Address
First Line : 2029 E SAINT LOUIS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3807
Country : US
Telephone Number : 702-240-3800
Fax Number :
Provider Business Practice Location Address
First Line : 2029 E SAINT LOUIS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3807
Country : US
Telephone Number : 702-240-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2018
Last Update Date : 02/19/2018

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Directions to “ ANTONIO SOLANO ” Practice Location

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