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NPI Code Detail

MEDICARE: ROSELLE DELEON GUERRERO

MEDICARE:   ROSELLE  DELEON GUERRERO
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1619303443
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSELLE DELEON GUERRERO
Provider Business Mailing Address
First Line : 3305 E ROME BLVD APT 2121
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89086-1489
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3305 E ROME BLVD APT 2121
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89086-1489
Country : US
Telephone Number : 618-497-4314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2013
Last Update Date : 09/25/2013

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Directions to “ ROSELLE DELEON GUERRERO ” Practice Location

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