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NPI Code Detail

MEDICARE: DEVESHA ROSS

MEDICARE: DEVESHA ROSS
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 : 1467171918
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVESHA ROSS
Provider Business Mailing Address
First Line : 3925 PROSPECT ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-5425
Country : US
Telephone Number : 702-982-2796
Fax Number :
Provider Business Practice Location Address
First Line : 3925 PROSPECT ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-5425
Country : US
Telephone Number : 702-982-2796
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2022
Last Update Date : 08/25/2022

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Directions to “ DEVESHA ROSS ” Practice Location

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