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NPI Code Detail

MEDICARE: GRACE TAEZA PAJARILLO

MEDICARE: GRACE TAEZA PAJARILLO
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 : 1871198275
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE TAEZA PAJARILLO
Provider Business Mailing Address
First Line : 1775 E TROPICANA AVE STE 16B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6557
Country : US
Telephone Number : 702-916-4904
Fax Number :
Provider Business Practice Location Address
First Line : 1775 E TROPICANA AVE STE 16B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6557
Country : US
Telephone Number : 702-916-4904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2020
Last Update Date : 12/02/2020

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Directions to “ GRACE TAEZA PAJARILLO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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