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NPI Code Detail

MEDICARE: JESUS AMADOR REYES

MEDICARE:   JESUS  AMADOR REYES
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 AttendantNV

General Provider Information

NPI Number : 1962238071
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESUS AMADOR REYES
Provider Business Mailing Address
First Line : 1825 E LONG ST APT 8
Second Line :
City : CARSON CITY
State : NV
Zip : 89706-3218
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1825 E LONG ST
Second Line :
City : CARSON CITY
State : NV
Zip : 89706-3257
Country : US
Telephone Number : 239-687-6116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2024
Last Update Date : 09/13/2024

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Directions to “ JESUS AMADOR REYES ” Practice Location

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