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NPI Code Detail

MEDICARE: LATRICIA MARIE BROOKS

MEDICARE: LATRICIA MARIE BROOKS
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
1372500000XChore ProviderNV
2376J00000XHomemakerNV
33747P1801XPersonal Care AttendantNV
4372600000XAdult CompanionNV
53747A0650XAttendant Care ProviderNV

General Provider Information

NPI Number : 1932609112
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATRICIA MARIE BROOKS
Provider Business Mailing Address
First Line : 3671 TIMBERLAKE DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-0235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1785 E SAHARA AVE STE 485
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3757
Country : US
Telephone Number : 702-562-2348
Fax Number : 702-598-0010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2018
Last Update Date : 02/14/2018

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Practice Fax: 702-598-0010

Directions to “ LATRICIA MARIE BROOKS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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