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NPI Code Detail

MEDICARE: AMANDA MARIE HERNANDEZ-VIGARAY

MEDICARE: AMANDA MARIE HERNANDEZ-VIGARAY
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
4376J00000XHomemaker
53747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1730901075
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MARIE HERNANDEZ-VIGARAY
Provider Business Mailing Address
First Line : 2300 W SAHARA AVE FL 8
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-4373
Country : US
Telephone Number : 702-815-9012
Fax Number :
Provider Business Practice Location Address
First Line : 2300 W SAHARA AVE FL 8
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-4373
Country : US
Telephone Number : 702-815-9012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2024
Last Update Date : 10/28/2024

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Directions to “ AMANDA MARIE HERNANDEZ-VIGARAY ” Practice Location

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