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NPI Code Detail

MEDICARE: JESTINA A SLANEY

MEDICARE:   JESTINA A SLANEY
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 ProviderNV
2372600000XAdult CompanionNV
33747A0650XAttendant Care ProviderNV
4376J00000XHomemakerNV
53747P1801XPersonal Care AttendantNV

General Provider Information

NPI Number : 1790379998
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESTINA A SLANEY
Provider Business Mailing Address
First Line : 1853 CRYSTAL GEM ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-1828
Country : US
Telephone Number : 323-326-0974
Fax Number :
Provider Business Practice Location Address
First Line : 1055 E FLAMINGO RD APT 322
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-7443
Country : US
Telephone Number : 702-955-0267
Fax Number : 702-442-9714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2021
Last Update Date : 02/27/2021

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Directions to “ JESTINA A SLANEY ” Practice Location

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