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NPI Code Detail

MEDICARE: ARIANNA GARDEA

MEDICARE: ARIANNA GARDEA
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 : 1356961916
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIANNA GARDEA
Provider Business Mailing Address
First Line : 6462 LOSEE RD STE 110
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89086-0105
Country : US
Telephone Number : 760-818-5010
Fax Number :
Provider Business Practice Location Address
First Line : 1936 BLUFF KNOLL CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89086
Country : US
Telephone Number : 760-818-5010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2020
Last Update Date : 04/23/2020

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Directions to “ ARIANNA GARDEA ” Practice Location

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