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NPI Code Detail

MEDICARE: MISS CATRISHA CHANTELLE CABANILLA- DEL MUNDO D.O.

MEDICARE:  MISS CATRISHA CHANTELLE CABANILLA- DEL MUNDO  D.O.
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
1207QH0002XHospice and Palliative Medicine (Family Medicine) PhysicianDO1900NV
2207Q00000XFamily Medicine PhysicianSL0806NV

General Provider Information

NPI Number : 1922392315
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CATRISHA CHANTELLE CABANILLA- DEL MUNDO D.O.
Provider Business Mailing Address
First Line : 4131 SWENSON ST
Second Line : NATHAN ADELSON HOSPICE
City : LAS VEGAS
State : NV
Zip : 89119-6718
Country : US
Telephone Number : 702-796-3141
Fax Number : 702-796-3122
Provider Business Practice Location Address
First Line : 4131 SWENSON ST
Second Line : NATHAN ADELSON HOSPICE
City : LAS VEGAS
State : NV
Zip : 89119-6718
Country : US
Telephone Number : 702-796-3141
Fax Number : 702-796-3122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2011
Last Update Date : 10/19/2015

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Directions to “ MISS CATRISHA CHANTELLE CABANILLA- DEL MUNDO D.O.” Practice Location

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