MEDICARE: MARIA M FRANCISCO PADILLA

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1760231492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA M FRANCISCO PADILLA

Provider Business Mailing Address
First Line	:	8985 S DURANGO DR UNIT 2045
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-6132
Country	:	US
Telephone Number	:	657-280-9352
Fax Number	:

Provider Business Practice Location Address
First Line	:	8985 S DURANGO DR UNIT 2045
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-6132
Country	:	US
Telephone Number	:	657-280-9352
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2024
Last Update Date	:	05/15/2024

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