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NPI Code Detail

MEDICARE: RACHEAL UWIMANA

MEDICARE:   RACHEAL  UWIMANA
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 : 1902383391
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEAL UWIMANA
Provider Business Mailing Address
First Line : 4830 E CHARLESTON BLVD APT 1
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-6427
Country : US
Telephone Number : 702-234-9254
Fax Number :
Provider Business Practice Location Address
First Line : 4830 E CHARLESTON BLVD APT 1
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-6427
Country : US
Telephone Number : 702-234-9254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2018
Last Update Date : 07/27/2018

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Directions to “ RACHEAL UWIMANA ” Practice Location

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