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NPI Code Detail

MEDICARE: SONSERAYE TALLEY

MEDICARE:   SONSERAYE  TALLEY
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 : 1568125888
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONSERAYE TALLEY
Provider Business Mailing Address
First Line : 410 S RAMPART BLVD STE 390
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-5749
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1270 BURNHAM AVE APT 2127
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-1969
Country : US
Telephone Number : 702-881-7850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2021
Last Update Date : 10/14/2021

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Directions to “ SONSERAYE TALLEY ” 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.