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NPI Code Detail

MEDICARE: VERONICA SEUELL

MEDICARE:   VERONICA  SEUELL
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1063792372
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA SEUELL
Provider Business Mailing Address
First Line : 3455 W CRAIG RD STE C
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-5119
Country : US
Telephone Number : 702-982-0600
Fax Number : 702-983-0300
Provider Business Practice Location Address
First Line : 3455 W CRAIG RD STE C
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-5119
Country : US
Telephone Number : 702-982-0600
Fax Number : 702-983-0300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2011
Last Update Date : 01/03/2019

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Directions to “ VERONICA SEUELL ” Practice Location

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