MEDICARE: NOHEMI SANCHEZ MEDINA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	376J00000X	Homemaker
2	3747P1801X	Personal Care Attendant
3	247200000X	Other Technician

General Provider Information

NPI Number	:	1912747544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOHEMI SANCHEZ MEDINA

Provider Business Mailing Address
First Line	:	1912 S MARYLAND PKWY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3106
Country	:	US
Telephone Number	:	702-331-3650
Fax Number	:

Provider Business Practice Location Address
First Line	:	10250 SPENCER ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-6902
Country	:	US
Telephone Number	:	831-578-5780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2024
Last Update Date	:	05/30/2024

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Directions to “ NOHEMI SANCHEZ MEDINA ” Practice Location

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