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NPI Code Detail

MEDICARE: JACKELINE MILANES

MEDICARE:   JACKELINE  MILANES
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 : 1780338400
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACKELINE MILANES
Provider Business Mailing Address
First Line : 2317 SANTA RITA DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-2640
Country : US
Telephone Number : 702-761-1108
Fax Number :
Provider Business Practice Location Address
First Line : 2317 SANTA RITA DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-2640
Country : US
Telephone Number : 702-761-1108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2022
Last Update Date : 02/10/2022

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Directions to “ JACKELINE MILANES ” Practice Location

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