MEDICARE: REBECCA DAVILA HHP

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
1	175F00000X	Naturopath		NV

General Provider Information

NPI Number	:	1437807237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA DAVILA HHP

Provider Business Mailing Address
First Line	:	114 RICHLAND HILLS AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-5808
Country	:	US
Telephone Number	:	702-426-2529
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 RICHLAND HILLS AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-5808
Country	:	US
Telephone Number	:	702-426-2529
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2022
Last Update Date	:	03/11/2022

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