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NPI Code Detail

MEDICARE: KEYLA FERNANDEZ

MEDICARE:   KEYLA  FERNANDEZ
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 : 1326614694
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEYLA FERNANDEZ
Provider Business Mailing Address
First Line : 3230 POLARIS AVE STE 2
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8325
Country : US
Telephone Number : 702-472-4119
Fax Number : 702-432-0031
Provider Business Practice Location Address
First Line : 3230 POLARIS AVE STE 2
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8325
Country : US
Telephone Number : 702-472-4119
Fax Number : 702-432-0031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2021
Last Update Date : 05/27/2021

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Directions to “ KEYLA FERNANDEZ ” Practice Location

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