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NPI Code Detail

MEDICARE: MRS. ANNAH-LIZAH VAQUILAR MEADORS LMFT

MEDICARE:  MRS. ANNAH-LIZAH VAQUILAR MEADORS  LMFT
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
1106H00000XMarriage & Family TherapistMFT01145NV

General Provider Information

NPI Number : 1609176114
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNAH-LIZAH VAQUILAR MEADORS LMFT
Provider Business Mailing Address
First Line : 4356 HERA TEMPLE AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-3459
Country : US
Telephone Number : 702-373-5474
Fax Number :
Provider Business Practice Location Address
First Line : 4538 W CRAIG RD STE 290
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-2511
Country : US
Telephone Number : 702-486-5614
Fax Number : 702-486-5630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2010
Last Update Date : 01/13/2020

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Directions to “ MRS. ANNAH-LIZAH VAQUILAR MEADORS LMFT” Practice Location

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