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NPI Code Detail

MEDICARE: JAMESHA D WROTEN

MEDICARE:   JAMESHA D WROTEN
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1912295353
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMESHA D WROTEN
Provider Business Mailing Address
First Line : 716 CADES COVE CT
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-1306
Country : US
Telephone Number : 702-340-1272
Fax Number :
Provider Business Practice Location Address
First Line : 716 CADES COVE CT
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-1306
Country : US
Telephone Number : 702-340-1272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2011
Last Update Date : 07/19/2011

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Directions to “ JAMESHA D WROTEN ” Practice Location

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