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NPI Code Detail

MEDICARE: LAQUISHA NICOLE MINGO

MEDICARE:   LAQUISHA NICOLE MINGO
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 : 1558632588
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAQUISHA NICOLE MINGO
Provider Business Mailing Address
First Line : 5400 W CHEYENNE AVE APT 2027
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-4745
Country : US
Telephone Number : 561-945-7187
Fax Number :
Provider Business Practice Location Address
First Line : 801 S RANCHO DR STE E2B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3812
Country : US
Telephone Number : 702-586-2763
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2012
Last Update Date : 03/17/2018

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Directions to “ LAQUISHA NICOLE MINGO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.