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NPI Code Detail

MEDICARE: VIVIAN ROSHAUN JONES

MEDICARE: VIVIAN ROSHAUN JONES
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 : 1356848337
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIAN ROSHAUN JONES
Provider Business Mailing Address
First Line : 83 N 28TH ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-4662
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2330 PASEO DEL PRADO STE C307
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-0076
Country : US
Telephone Number : 725-600-7953
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2018
Last Update Date : 04/06/2018

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Directions to “ VIVIAN ROSHAUN JONES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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