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NPI Code Detail

MEDICARE: WAI LAN MOSKOWITZ

MEDICARE:   WAI LAN MOSKOWITZ
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 : 1922675800
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAI LAN MOSKOWITZ
Provider Business Mailing Address
First Line : 3230 POLARIS AVE STE 2
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8325
Country : US
Telephone Number : 702-678-5089
Fax Number : 702-294-0222
Provider Business Practice Location Address
First Line : 3230 POLARIS AVE STE 2
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8325
Country : US
Telephone Number : 702-678-5089
Fax Number : 702-294-0222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2021
Last Update Date : 06/08/2021

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Directions to “ WAI LAN MOSKOWITZ ” Practice Location

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