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NPI Code Detail

MEDICARE: CHRIS FRED ESQUIVEL

MEDICARE:   CHRIS FRED ESQUIVEL
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
23747A0650XAttendant Care Provider
3376J00000XHomemaker
43747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1942857057
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS FRED ESQUIVEL
Provider Business Mailing Address
First Line : 2041 LONE MOUNTAIN DR APT 87
Second Line :
City : CARSON CITY
State : NV
Zip : 89706-2228
Country : US
Telephone Number : 530-407-2005
Fax Number :
Provider Business Practice Location Address
First Line : 343 FAIRVIEW DR
Second Line :
City : CARSON CITY
State : NV
Zip : 89701-5798
Country : US
Telephone Number : 775-887-5683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2019
Last Update Date : 08/22/2019

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Directions to “ CHRIS FRED ESQUIVEL ” Practice Location

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