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NPI Code Detail

MEDICARE: CYNTHIA WHALIN

MEDICARE:   CYNTHIA  WHALIN
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1386913978
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA WHALIN
Provider Business Mailing Address
First Line : 4163 S. PECOS STE #17
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5027
Country : US
Telephone Number : 702-396-3464
Fax Number :
Provider Business Practice Location Address
First Line : 4163 S. PECOS STE #17
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5027
Country : US
Telephone Number : 702-396-3464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2011
Last Update Date : 12/28/2011

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Directions to “ CYNTHIA WHALIN ” Practice Location

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