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NPI Code Detail

MEDICARE: RUTH BURGUENO CEJA

MEDICARE:   RUTH  BURGUENO CEJA
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 AttendantNV

General Provider Information

NPI Number : 1619449196
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH BURGUENO CEJA
Provider Business Mailing Address
First Line : 3931 SILVER DOLLAR AVE APT 201
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-0443
Country : US
Telephone Number : 702-490-1802
Fax Number :
Provider Business Practice Location Address
First Line : 7800 S RAINBOW BLVD APT 1174
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-6207
Country : US
Telephone Number : 702-553-8305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2018
Last Update Date : 12/21/2018

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Directions to “ RUTH BURGUENO CEJA ” Practice Location

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