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NPI Code Detail

MEDICARE: MISS ILEANA MONTES

MEDICARE: MISS ILEANA MONTES
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1144649450
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ILEANA MONTES
Provider Business Mailing Address
First Line : 820 MAJESTIC ROCK CIR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0615
Country : US
Telephone Number : 702-245-7522
Fax Number :
Provider Business Practice Location Address
First Line : 7221 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1580
Country : US
Telephone Number : 702-212-3008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2014
Last Update Date : 04/15/2014

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Directions to “ MISS ILEANA MONTES ” Practice Location

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