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NPI Code Detail

MEDICARE: AESHA ALLEN

MEDICARE: AESHA ALLEN
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 Attendant

General Provider Information

NPI Number : 1891278578
Entity Type Code : Individual
Provider Name (Legal Business Name) : AESHA ALLEN
Provider Business Mailing Address
First Line : 500 MILLER AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-3860
Country : US
Telephone Number : 702-349-3793
Fax Number :
Provider Business Practice Location Address
First Line : 4550 W OAKEY BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1506
Country : US
Telephone Number : 702-906-1999
Fax Number : 702-906-1998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2018
Last Update Date : 09/10/2018

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Directions to “ AESHA ALLEN ” Practice Location

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