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NPI Code Detail

MEDICARE: CLAUDIA BARRAZA

MEDICARE: CLAUDIA BARRAZA
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
1302R00000XHealth Maintenance OrganizationM10290NV

General Provider Information

NPI Number : 1508108549
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLAUDIA BARRAZA
Provider Business Mailing Address
First Line : 4650 N RAINBOW BLVD
Second Line : APT. 1049
City : LAS VEGAS
State : NV
Zip : 89108-5757
Country : US
Telephone Number : 702-882-9220
Fax Number :
Provider Business Practice Location Address
First Line : 720 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-3614
Country : US
Telephone Number : 702-331-4874
Fax Number : 702-446-8034
Authorized Official
Title or Position : MARRIAGE AND FAMILY THERAPIST INTER
Name : CLAUDIA BARRAZA
Credential : MFT INTERN
Telephone Number : 702-882-9220
Provider Enumeration Date : 03/16/2013
Last Update Date : 03/16/2013

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Directions to “CLAUDIA BARRAZA ” Practice Location

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