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NPI Code Detail

MEDICARE: JANET FRANCES MASANZ

MEDICARE: JANET FRANCES MASANZ
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
11041C0700XClinical Social WorkerNV
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1073986444
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET FRANCES MASANZ
Provider Business Mailing Address
First Line : 5138 N JULIANO RD
Second Line : 5138 N JULIANO RD
City : LAS VEGAS
State : NV
Zip : 89149-4110
Country : US
Telephone Number : 702-245-5636
Fax Number :
Provider Business Practice Location Address
First Line : 5138 N JULIANO RD
Second Line : 5138 N JULIANO RD
City : LAS VEGAS
State : NV
Zip : 89149-4110
Country : US
Telephone Number : 702-245-5636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2015
Last Update Date : 10/01/2025

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Directions to “ JANET FRANCES MASANZ ” Practice Location

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