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NPI Code Detail

MEDICARE: TERESA LEON

MEDICARE: TERESA LEON
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 : 1033619127
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA LEON
Provider Business Mailing Address
First Line : 6517 MOON ROSES CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-1861
Country : US
Telephone Number : 702-444-8258
Fax Number :
Provider Business Practice Location Address
First Line : 5000 W OAKEY BLVD STE E1
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3398
Country : US
Telephone Number : 702-733-2890
Fax Number : 702-733-4951
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 “ TERESA LEON ” Practice Location

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