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NPI Code Detail

MEDICARE: EARNESTINE HOBBS

MEDICARE: EARNESTINE HOBBS
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

General Provider Information

NPI Number : 1194291369
Entity Type Code : Individual
Provider Name (Legal Business Name) : EARNESTINE HOBBS
Provider Business Mailing Address
First Line : 4109 DEEP SPACE ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0764
Country : US
Telephone Number : 702-277-4824
Fax Number :
Provider Business Practice Location Address
First Line : 3435 W CRAIG RD STE C
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-5116
Country : US
Telephone Number : 702-538-8814
Fax Number : 702-560-0488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2018
Last Update Date : 10/16/2018

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Directions to “ EARNESTINE HOBBS ” Practice Location

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