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NPI Code Detail

MEDICARE: LUZ CUADROS

MEDICARE: LUZ CUADROS
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
1376J00000XHomemaker
23747P1801XPersonal Care Attendant

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 : 1891319158
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUZ CUADROS
Provider Business Mailing Address
First Line : 517 COUNT AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-8630
Country : US
Telephone Number : 702-778-7440
Fax Number :
Provider Business Practice Location Address
First Line : 517 COUNT AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-8630
Country : US
Telephone Number : 702-778-7440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2020
Last Update Date : 06/19/2020

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Directions to “ LUZ CUADROS ” Practice Location

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