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NPI Code Detail

MEDICARE: LINDA DEE OBESO

MEDICARE: LINDA DEE OBESO
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
1372500000XChore ProviderNV
2372600000XAdult CompanionNV
33747A0650XAttendant Care ProviderNV
4376J00000XHomemakerNV
53747P1801XPersonal Care AttendantNV

General Provider Information

NPI Number : 1578125498
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA DEE OBESO
Provider Business Mailing Address
First Line : 2235 E FLAMINGO RD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5189
Country : US
Telephone Number : 702-862-4942
Fax Number : 702-825-0595
Provider Business Practice Location Address
First Line : 2235 E FLAMINGO RD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5189
Country : US
Telephone Number : 702-862-4942
Fax Number : 702-825-0595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2019
Last Update Date : 01/10/2022

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1124580873 — LAQUANN WALLACE
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89119-5189
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1598327421 — BRANDON MICHAEL WILLIAMS
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89119-5189
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1033771951 — CHARMAINE DENISE BEVERLY
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Directions to “ LINDA DEE OBESO ” Practice Location

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