MEDICARE: DENISE SPENCER REDDIX

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1841726775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE SPENCER REDDIX

Provider Business Mailing Address
First Line	:	3817 PECOS PARK AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-6626
Country	:	US
Telephone Number	:	702-527-9704
Fax Number	:

Provider Business Practice Location Address
First Line	:	3817 PECOS PARK AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-6626
Country	:	US
Telephone Number	:	702-527-9704
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	05/11/2017

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Directions to “ DENISE SPENCER REDDIX ” Practice Location

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