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NPI Code Detail

MEDICARE: MARIA CECILIA BECERRA-GONZALEZ

MEDICARE: MARIA CECILIA BECERRA-GONZALEZ
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 : 1730736968
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA CECILIA BECERRA-GONZALEZ
Provider Business Mailing Address
First Line : 2820 W. CHARLESTON BLVD.
Second Line : SUITE B-21
City : LAS VEGAS
State : NV
Zip : 89102-1930
Country : US
Telephone Number : 702-413-6011
Fax Number : 702-988-8780
Provider Business Practice Location Address
First Line : 2820 W. CHARLESTON BLVD.
Second Line : SUITE B-21
City : LAS VEGAS
State : NV
Zip : 89102-1930
Country : US
Telephone Number : 702-413-6011
Fax Number : 702-988-8780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2019
Last Update Date : 08/22/2019

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Directions to “ MARIA CECILIA BECERRA-GONZALEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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