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NPI Code Detail

MEDICARE: MAYSOON ODEESHO

MEDICARE:   MAYSOON  ODEESHO
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 : 1205336658
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYSOON ODEESHO
Provider Business Mailing Address
First Line : 875 E SILVERADO RANCH BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-5887
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1785 E SAHARA AVE STE 485
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3757
Country : US
Telephone Number : 702-562-2348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2018
Last Update Date : 02/12/2018

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Directions to “ MAYSOON ODEESHO ” Practice Location

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