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NPI Code Detail

MEDICARE: IRMA ELIZALDE

MEDICARE: IRMA ELIZALDE
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
2372600000XAdult Companion
33747A0650XAttendant Care Provider
4376J00000XHomemaker
53747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1174023717
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRMA ELIZALDE
Provider Business Mailing Address
First Line : 497 PAINTBRUSH WAY
Second Line :
City : MESQUITE
State : NV
Zip : 89027-8155
Country : US
Telephone Number : 702-346-6334
Fax Number :
Provider Business Practice Location Address
First Line : 550 W PIONEER BLVD STE 204
Second Line :
City : MESQUITE
State : NV
Zip : 89027-1406
Country : US
Telephone Number : 702-345-4065
Fax Number : 702-345-4077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2018
Last Update Date : 02/20/2018

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Directions to “ IRMA ELIZALDE ” Practice Location

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