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NPI Code Detail

MEDICARE: MYESHA JONES

MEDICARE: MYESHA JONES
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
1376J00000XHomemaker

General Provider Information

NPI Number : 1962141622
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYESHA JONES
Provider Business Mailing Address
First Line : 4732 KRISSYLOUISE WAY APT D
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-7688
Country : US
Telephone Number : 213-392-5563
Fax Number :
Provider Business Practice Location Address
First Line : 1516 E TROPICANA AVE STE 199
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-8323
Country : US
Telephone Number : 725-214-7776
Fax Number : 725-214-7768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2022
Last Update Date : 06/01/2022

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Directions to “ MYESHA JONES ” Practice Location

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