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NPI Code Detail

MEDICARE: MAHLAYJA BURNETTE

MEDICARE: MAHLAYJA BURNETTE
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
1372600000XAdult Companion
2251E00000XHome Health Agency
3376J00000XHomemaker
4372500000XChore Provider
53747P1801XPersonal Care Attendant
63747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1710709969
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHLAYJA BURNETTE
Provider Business Mailing Address
First Line : 1157 TONI AVE APT 9
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-1455
Country : US
Telephone Number : 702-683-2022
Fax Number :
Provider Business Practice Location Address
First Line : 3930 HOWARD HUGHES PKWY STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0946
Country : US
Telephone Number : 702-560-2192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2024
Last Update Date : 06/02/2026

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Directions to “ MAHLAYJA BURNETTE ” Practice Location

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