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NPI Code Detail

MEDICARE: MARIA WILLIAMS

MEDICARE:   MARIA  WILLIAMS
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1780342758
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA WILLIAMS
Provider Business Mailing Address
First Line : 6427 COLLINGSWORTH ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-2963
Country : US
Telephone Number : 725-724-7847
Fax Number :
Provider Business Practice Location Address
First Line : 6427 COLLINGSWORTH ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-2963
Country : US
Telephone Number : 725-724-7847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2021
Last Update Date : 12/07/2021

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Directions to “ MARIA WILLIAMS ” Practice Location

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