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NPI Code Detail

MEDICARE: CHRISTINA L CLOUD

MEDICARE: CHRISTINA L CLOUD
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1982976544
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA L CLOUD
Provider Business Mailing Address
First Line : 2445 FIRE MESA ST STE 190
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-9015
Country : US
Telephone Number : 702-212-3008
Fax Number : 702-933-3064
Provider Business Practice Location Address
First Line : 2445 FIRE MESA ST STE 190
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-9015
Country : US
Telephone Number : 702-212-3008
Fax Number : 702-933-3064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2012
Last Update Date : 01/29/2012

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Directions to “ CHRISTINA L CLOUD ” Practice Location

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