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NPI Code Detail

MEDICARE: MS. JOCELYN CHIONG VERAQUE

MEDICARE:  MS. JOCELYN CHIONG VERAQUE
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
1225X00000XOccupational TherapistNV

General Provider Information

NPI Number : 1912125691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOCELYN CHIONG VERAQUE
Provider Business Mailing Address
First Line : 9003 SHEFFIELD GARDEN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4960
Country : US
Telephone Number : 757-650-1250
Fax Number :
Provider Business Practice Location Address
First Line : 9003 SHEFFIELD GARDEN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4960
Country : US
Telephone Number : 757-650-1250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 07/08/2007

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Directions to “ MS. JOCELYN CHIONG VERAQUE ” Practice Location

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