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NPI Code Detail

MEDICARE: GESENIA ARTEAGA

MEDICARE: GESENIA ARTEAGA
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-19-78830NV

General Provider Information

NPI Number : 1801361159
Entity Type Code : Individual
Provider Name (Legal Business Name) : GESENIA ARTEAGA
Provider Business Mailing Address
First Line : 6130 W TROPICANA AVE STE 145
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4604
Country : US
Telephone Number : 702-900-7698
Fax Number : 702-825-0791
Provider Business Practice Location Address
First Line : 2820 W CHARLESTON BLVD STE 22
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1933
Country : US
Telephone Number : 702-900-7698
Fax Number : 702-825-0791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2018
Last Update Date : 06/11/2019

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Directions to “ GESENIA ARTEAGA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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