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Other Service Providers Specialist

Provider NPI: 1851766117

Organization Information:
Organization Name:  HOMER C TUAZON LLC
Organization is not Subpart
Authorized Official:  HOMER C TUAZON  PRESIDENT  702-417-3865

Practice Location:
Tel: 702-444-7744  Fax: 702-444-7898

Business Mailing Address:
PO BOX 400546  LAS VEGAS, NV 89140-0546 US
Tel: 702-444-7744  Fax: 702-444-7898

NPI Information:
NPI: 1851766117
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N174400000XOther Service Providers
N2471C3402XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 363LF0000X





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