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NPI Code Detail

MEDICARE: BLANCA ALICIA HERNANDEZ

MEDICARE:   BLANCA ALICIA HERNANDEZ
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 : 1417508847
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLANCA ALICIA HERNANDEZ
Provider Business Mailing Address
First Line : 1001 E CAREY AVE APT 809
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-1808
Country : US
Telephone Number : 702-822-2188
Fax Number :
Provider Business Practice Location Address
First Line : 1001 E CAREY AVE APT 809
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-1808
Country : US
Telephone Number : 702-822-2188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2019
Last Update Date : 09/26/2019

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Directions to “ BLANCA ALICIA HERNANDEZ ” Practice Location

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