MEDICARE: G WOMEN INTERNATIONAL, LLC

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
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1558665356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G WOMEN INTERNATIONAL, LLC

Provider Business Mailing Address
First Line	:	2451 S BUFFALO DR STE 138
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2749
Country	:	US
Telephone Number	:	702-776-8304
Fax Number	:	702-776-8095

Provider Business Practice Location Address
First Line	:	2451 S BUFFALO DR STE 138
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2749
Country	:	US
Telephone Number	:	702-776-8304
Fax Number	:	702-776-8095

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GRACE GARCIA
Credential	:
Telephone Number	:	702-776-8304

Provider Enumeration Date	:	01/07/2011
Last Update Date	:	01/18/2022

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