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NPI Code Detail

MEDICARE: MS. CARIEL Y SERRANO

MEDICARE: MS. CARIEL Y SERRANO
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 : 1972011625
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CARIEL Y SERRANO
Provider Business Mailing Address
First Line : 7714 HAUCK ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-0100
Country : US
Telephone Number : 702-415-3101
Fax Number : 702-293-3664
Provider Business Practice Location Address
First Line : 7714 HAUCK ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-0100
Country : US
Telephone Number : 702-415-3101
Fax Number : 702-293-3664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2018
Last Update Date : 06/20/2018

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Directions to “ MS. CARIEL Y SERRANO ” Practice Location

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