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NPI Code Detail

MEDICARE: MISS EDITHA VENTURA CABILES

MEDICARE: MISS EDITHA VENTURA CABILES
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
1372500000XChore Provider
2372600000XAdult CompanionNV
33747A0650XAttendant Care ProviderNV
4376J00000XHomemakerNV
53747P1801XPersonal Care AttendantNV

General Provider Information

NPI Number : 1861992901
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS EDITHA VENTURA CABILES
Provider Business Mailing Address
First Line : 3350 HAUCK ST APT 2040
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-8034
Country : US
Telephone Number : 702-572-6507
Fax Number :
Provider Business Practice Location Address
First Line : 6725 S EASTERN AVE STE 1
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3949
Country : US
Telephone Number : 702-646-2722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2018
Last Update Date : 02/15/2018

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Directions to “ MISS EDITHA VENTURA CABILES ” Practice Location

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