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NPI Code Detail

MEDICARE: MELVIN LOYAL

MEDICARE:   MELVIN  LOYAL
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
1376J00000XHomemaker

General Provider Information

NPI Number : 1255109823
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELVIN LOYAL
Provider Business Mailing Address
First Line : 451 N NELLIS BLVD APT 1128
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-5348
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 451 N NELLIS BLVD APT 1128
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-5348
Country : US
Telephone Number : 213-656-2968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2023
Last Update Date : 12/13/2023

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Directions to “ MELVIN LOYAL ” Practice Location

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