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NPI Code Detail

MEDICARE: MICHELLE N PELUAGA CP

MEDICARE:   MICHELLE N PELUAGA  CP
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
1224P00000XProsthetistCP003913NV

General Provider Information

NPI Number : 1386322055
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE N PELUAGA CP
Provider Business Mailing Address
First Line : 3435 W CHEYENNE AVE STE 102
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-8207
Country : US
Telephone Number : 702-233-5500
Fax Number :
Provider Business Practice Location Address
First Line : 3435 W CHEYENNE AVE STE 102
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-8207
Country : US
Telephone Number : 702-233-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2023
Last Update Date : 07/11/2023

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Directions to “ MICHELLE N PELUAGA CP” Practice Location

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