MEDICARE: CIN WOOD LLC

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	374J00000X	Doula

General Provider Information

NPI Number	:	1477364446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIN WOOD LLC

Provider Business Mailing Address
First Line	:	2381 E WINDMILL LN STE 3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2069
Country	:	US
Telephone Number	:	702-415-9073
Fax Number	:

Provider Business Practice Location Address
First Line	:	8610 S MARYLAND PKWY APT 1013
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2710
Country	:	US
Telephone Number	:	702-415-9073
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACINTA WOOD
Credential	:
Telephone Number	:	702-415-9073

Provider Enumeration Date	:	01/17/2025
Last Update Date	:	01/17/2025

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Directions to “CIN WOOD LLC ” Practice Location

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