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NPI Code Detail

MEDICARE: JAMI N RADCLIFF

MEDICARE: JAMI N RADCLIFF
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
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1578151213
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMI N RADCLIFF
Provider Business Mailing Address
First Line : 4956 DRIFTING PEBBLE ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-3057
Country : US
Telephone Number : 702-540-8743
Fax Number :
Provider Business Practice Location Address
First Line : 4956 DRIFTING PEBBLE ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-3057
Country : US
Telephone Number : 702-540-8743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2021
Last Update Date : 01/07/2021

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Directions to “ JAMI N RADCLIFF ” Practice Location

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