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NPI Code Detail

MEDICARE: THERESANN OLACHIA

MEDICARE:   THERESANN  OLACHIA
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 : 1629625447
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESANN OLACHIA
Provider Business Mailing Address
First Line : 1509 CEDAR ROCK LN UNIT 201
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-3621
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1509 CEDAR ROCK LN UNIT 201
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-3621
Country : US
Telephone Number : 702-407-2926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2019
Last Update Date : 08/26/2019

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Directions to “ THERESANN OLACHIA ” Practice Location

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