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NPI Code Detail

MEDICARE: JUDITH BEN TOVIM

MEDICARE:   JUDITH  BEN TOVIM
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 : 1669058186
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH BEN TOVIM
Provider Business Mailing Address
First Line : 410 S RAMPART BLVD STE 390
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-5749
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2633 S DURANGO DR APT 204
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-2668
Country : US
Telephone Number : 702-686-4991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2021
Last Update Date : 03/23/2021

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Directions to “ JUDITH BEN TOVIM ” Practice Location

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