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NPI Code Detail

MEDICARE: DARION DIZON

MEDICARE: DARION DIZON
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 : 1598454878
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARION DIZON
Provider Business Mailing Address
First Line : 4851 KINWORTHY ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-2745
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4851 KINWORTHY ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-2745
Country : US
Telephone Number : 408-836-8041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2023
Last Update Date : 05/03/2023

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Directions to “ DARION DIZON ” Practice Location

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