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NPI Code Detail

MEDICARE: JULIO PEREZ VALDES

MEDICARE:   JULIO  PEREZ VALDES
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11123659875OTHERNVDL

General Provider Information

NPI Number : 1083100499
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIO PEREZ VALDES
Provider Business Mailing Address
First Line : 3388 WARNOCK RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8109
Country : US
Telephone Number : 702-542-7703
Fax Number :
Provider Business Practice Location Address
First Line : 3388 WARNOCK RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8109
Country : US
Telephone Number : 702-542-7703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2018
Last Update Date : 07/09/2018

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Directions to “ JULIO PEREZ VALDES ” Practice Location

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