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NPI Code Detail

MEDICARE: MARIA DELEON

MEDICARE: MARIA DELEON
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 : 1699422113
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA DELEON
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 : 7944 TERRACE ROCK WAY UNIT 102
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-3608
Country : US
Telephone Number : 702-339-5154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2022
Last Update Date : 03/04/2022

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Directions to “ MARIA DELEON ” Practice Location

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