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NPI Code Detail

MEDICARE: DOMINIQUE SAWYER

MEDICARE:   DOMINIQUE  SAWYER
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 : 1912660515
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINIQUE SAWYER
Provider Business Mailing Address
First Line : 410 S RAMPART BLVD STE 390
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-5749
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 460 E GROVE ST APT 5
Second Line :
City : RENO
State : NV
Zip : 89502-3900
Country : US
Telephone Number : 916-820-4694
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2021
Last Update Date : 10/20/2021

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Directions to “ DOMINIQUE SAWYER ” Practice Location

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