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NPI Code Detail

MEDICARE: MS. VERONICA D. ALFARO TUMIALAN

MEDICARE:  MS. VERONICA D. ALFARO TUMIALAN
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
1171M00000XCase Manager/Care CoordinatorH14-00297-G-150517NV

General Provider Information

NPI Number : 1609170380
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VERONICA D. ALFARO TUMIALAN
Provider Business Mailing Address
First Line : 5016 ALTA DR
Second Line : SUITE 5
City : LAS VEGAS
State : NV
Zip : 89107-3927
Country : US
Telephone Number : 702-449-8229
Fax Number : 702-259-6311
Provider Business Practice Location Address
First Line : 2500 RIALTO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-3925
Country : US
Telephone Number : 702-449-8229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2011
Last Update Date : 01/10/2011

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