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NPI Code Detail

MEDICARE: ZOEE SHANELL THOMAS

MEDICARE: ZOEE SHANELL THOMAS
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
1372500000XChore Provider
23747A0650XAttendant Care Provider
3376J00000XHomemaker
43747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1528834710
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOEE SHANELL THOMAS
Provider Business Mailing Address
First Line : 3535 CAMBRIDGE ST APT 169
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-4002
Country : US
Telephone Number : 310-462-1859
Fax Number :
Provider Business Practice Location Address
First Line : 1912 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3106
Country : US
Telephone Number : 702-331-3660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2023
Last Update Date : 11/28/2023

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Directions to “ ZOEE SHANELL THOMAS ” Practice Location

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