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NPI Code Detail

MEDICARE: SIMEON LEON

MEDICARE:   SIMEON  LEON
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 : 1760035323
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMEON LEON
Provider Business Mailing Address
First Line : 6761 BONILLO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-2049
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4030 W TWAIN AVE APT 133
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-1882
Country : US
Telephone Number : 786-525-4809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2019
Last Update Date : 07/22/2019

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Directions to “ SIMEON LEON ” Practice Location

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