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NPI Code Detail

MEDICARE: ADISNUBIA VEGA

MEDICARE: ADISNUBIA VEGA
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
1172V00000XCommunity Health Worker
2372500000XChore Provider
3372600000XAdult Companion
43747A0650XAttendant Care Provider
5374U00000XHome Health Aide
6376J00000XHomemaker
73747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1184132839
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADISNUBIA VEGA
Provider Business Mailing Address
First Line : PO BOX 43753
Second Line :
City : LAS VEGAS
State : NV
Zip : 89116-1753
Country : US
Telephone Number : 702-290-9859
Fax Number :
Provider Business Practice Location Address
First Line : 2150 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-4109
Country : US
Telephone Number : 702-207-0842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2018
Last Update Date : 12/30/2024

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Directions to “ ADISNUBIA VEGA ” Practice Location

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