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NPI Code Detail

MEDICARE: FATIMA PEREZ

MEDICARE: FATIMA PEREZ
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 Provider
2372600000XAdult Companion
33747A0650XAttendant Care Provider
43747P1801XPersonal Care Attendant
5376J00000XHomemaker
6385H00000XRespite Care
73747P1801XPersonal Care AttendantH14-00259NV

General Provider Information

NPI Number : 1639678477
Entity Type Code : Individual
Provider Name (Legal Business Name) : FATIMA PEREZ
Provider Business Mailing Address
First Line : 7320 SMOKE RANCH RD STE H
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0259
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7320 SMOKE RANCH RD STE H
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0259
Country : US
Telephone Number : 702-380-0600
Fax Number : 702-658-1039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2018
Last Update Date : 02/14/2018

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Directions to “ FATIMA PEREZ ” Practice Location

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