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NPI Code Detail

MEDICARE: LISSETTE VAZQUEZ

MEDICARE:   LISSETTE  VAZQUEZ
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 : 1457917502
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISSETTE VAZQUEZ
Provider Business Mailing Address
First Line : 8009 CELEBREEZE CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-4437
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8009 CELEBREEZE CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-4437
Country : US
Telephone Number : 954-487-8695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2019
Last Update Date : 05/14/2019

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Directions to “ LISSETTE VAZQUEZ ” 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.