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NPI Code Detail

MEDICARE: DANELLE MONICA GUILLEN

MEDICARE:   DANELLE MONICA GUILLEN
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
1171M00000XCase Manager/Care Coordinator
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1811180243
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANELLE MONICA GUILLEN
Provider Business Mailing Address
First Line : 9120 BEAUTIFUL FLOWER CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3259
Country : US
Telephone Number : 702-572-1999
Fax Number :
Provider Business Practice Location Address
First Line : 7381 PRAIRIE FALCON RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0811
Country : US
Telephone Number : 702-376-8322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2007
Last Update Date : 01/13/2011

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Directions to “ DANELLE MONICA GUILLEN ” Practice Location

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