MEDICARE: CARINA PERRY

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1952918120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARINA PERRY

Provider Business Mailing Address
First Line	:	4820 WARTBUG CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2795
Country	:	US
Telephone Number	:	702-756-7415
Fax Number	:

Provider Business Practice Location Address
First Line	:	4820 WARTBUG CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2795
Country	:	US
Telephone Number	:	702-756-7415
Fax Number	:

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

Provider Enumeration Date	:	09/30/2020
Last Update Date	:	09/30/2020

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Directions to “ CARINA PERRY ” Practice Location

Language	Start Address	Practice Location

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