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NPI Code Detail

MEDICARE: MS. DOLORES MARIA ZAVALA

MEDICARE: MS. DOLORES MARIA ZAVALA
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1407104615
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DOLORES MARIA ZAVALA
Provider Business Mailing Address
First Line : 4524 VICTORIA GARDEN AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-0493
Country : US
Telephone Number : 702-469-1633
Fax Number :
Provider Business Practice Location Address
First Line : 2535 W CHEYENNE AVE
Second Line : SUITE 102
City : NORTH LAS VEGAS
State : NV
Zip : 89032-8929
Country : US
Telephone Number : 702-631-9251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2012
Last Update Date : 08/20/2012

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Directions to “ MS. DOLORES MARIA ZAVALA ” Practice Location

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