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NPI Code Detail

MEDICARE: MARITA SANICO

MEDICARE: MARITA SANICO
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 AttendantNV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861090136
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARITA SANICO
Provider Business Mailing Address
First Line : 5858 S PECOS RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-5404
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5858 S PECOS RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-5404
Country : US
Telephone Number : 702-855-3382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2020
Last Update Date : 10/09/2020

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Directions to “ MARITA SANICO ” Practice Location

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