MEDICARE: ROSMERY GARCIA

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	253Z00000X	In Home Supportive Care Agency	00000000000000000000	NV

General Provider Information

NPI Number	:	1962898650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSMERY GARCIA

Provider Business Mailing Address
First Line	:	10717 ELFSTROM AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-6019
Country	:	US
Telephone Number	:	702-524-8166
Fax Number	:

Provider Business Practice Location Address
First Line	:	10717 ELFSTROM AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-6019
Country	:	US
Telephone Number	:	702-524-8166
Fax Number	:

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

Provider Enumeration Date	:	04/09/2015
Last Update Date	:	04/09/2015

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Directions to “ ROSMERY GARCIA ” Practice Location

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