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NPI Code Detail

MEDICARE: MARIA GARCIA ZAMORA

MEDICARE: MARIA GARCIA ZAMORA
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
1106S00000XBehavior TechnicianRBT-17-42251NV

General Provider Information

NPI Number : 1760989107
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA GARCIA ZAMORA
Provider Business Mailing Address
First Line : 5980 S DURANGO DR STE 131
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-1775
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5980 S DURANGO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-1779
Country : US
Telephone Number : 888-505-1637
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2018
Last Update Date : 05/13/2022

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Directions to “ MARIA GARCIA ZAMORA ” Practice Location

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