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NPI Code Detail

MEDICARE: GAIL MARIE ROBERTS

MEDICARE:   GAIL MARIE ROBERTS
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
1374U00000XHome Health Aide
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1750971461
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIL MARIE ROBERTS
Provider Business Mailing Address
First Line : 4730 E CRAIG RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-2591
Country : US
Telephone Number : 702-688-2981
Fax Number :
Provider Business Practice Location Address
First Line : 4730 E CRAIG RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-2591
Country : US
Telephone Number : 702-688-2981
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2021
Last Update Date : 08/19/2024

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Directions to “ GAIL MARIE ROBERTS ” Practice Location

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