NPI 1093018509

Maria Bernadette Basilio

Practitioner Contractor Las Vegas, NV

Practice location

Address: 6121 Peach Orchard Rd, Las Vegas, NV 89142-0949
Phone: (702) 285-1512

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1093018509
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2010
Record last updated: 6 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.