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NPI Code Detail

MEDICARE: MAYDELIN SOTOLONGO SANCHEZ

MEDICARE: MAYDELIN SOTOLONGO SANCHEZ
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 : 1942700455
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYDELIN SOTOLONGO SANCHEZ
Provider Business Mailing Address
First Line : 417 FOXVALE AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-6150
Country : US
Telephone Number : 702-463-0082
Fax Number : 702-463-0104
Provider Business Practice Location Address
First Line : 417 FOXVALE AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-6150
Country : US
Telephone Number : 702-463-0082
Fax Number : 702-463-0104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2018
Last Update Date : 02/20/2018

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Directions to “ MAYDELIN SOTOLONGO SANCHEZ ” Practice Location

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