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NPI Code Detail

MEDICARE: MONIQUE MASCORRO

MEDICARE: MONIQUE MASCORRO
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 AttendantNV

General Provider Information

NPI Number : 1528914702
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE MASCORRO
Provider Business Mailing Address
First Line : 6725 S EASTERN AVE STE 1
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3949
Country : US
Telephone Number : 702-646-2722
Fax Number :
Provider Business Practice Location Address
First Line : 6725 S EASTERN AVE STE 1
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3949
Country : US
Telephone Number : 702-646-2722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ MONIQUE MASCORRO ” Practice Location

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