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NPI Code Detail

MEDICARE: SARAH MAE AGBILAY MEZA

MEDICARE: SARAH MAE AGBILAY MEZA
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
11041C0700XClinical Social Worker
21041C0700XClinical Social WorkerNV

General Provider Information

NPI Number : 1568218204
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MAE AGBILAY MEZA
Provider Business Mailing Address
First Line : 3145 E WARM SPRINGS RD STE 400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3140
Country : US
Telephone Number : 702-919-9515
Fax Number : 702-944-5498
Provider Business Practice Location Address
First Line : 3145 E WARM SPRINGS RD STE 400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3140
Country : US
Telephone Number : 702-919-9515
Fax Number : 702-944-5498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2024
Last Update Date : 11/19/2024

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Directions to “ SARAH MAE AGBILAY MEZA ” Practice Location

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