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NPI Code Detail

MEDICARE: DESTINY SANTOS

MEDICARE:   DESTINY  SANTOS
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 : 1427846906
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESTINY SANTOS
Provider Business Mailing Address
First Line : 3604 BLUE LAKE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-0200
Country : US
Telephone Number : 702-439-6924
Fax Number :
Provider Business Practice Location Address
First Line : 3604 BLUE LAKE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-0200
Country : US
Telephone Number : 702-439-6924
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2025
Last Update Date : 04/25/2025

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Directions to “ DESTINY SANTOS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.