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NPI Code Detail

MEDICARE: JASMIN BENGCO NUNAG

MEDICARE: JASMIN BENGCO NUNAG
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
1372500000XChore Provider
2372600000XAdult Companion
33747A0650XAttendant Care Provider
4376J00000XHomemaker
53747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1447751581
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMIN BENGCO NUNAG
Provider Business Mailing Address
First Line : 3050 S NELLIS BLVD APT 2042
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-7769
Country : US
Telephone Number : 702-788-0123
Fax Number :
Provider Business Practice Location Address
First Line : 6725 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3948
Country : US
Telephone Number : 702-646-2722
Fax Number : 702-647-2723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2018
Last Update Date : 03/17/2018

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Directions to “ JASMIN BENGCO NUNAG ” Practice Location

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