Provider Demographics
NPI:1083900385
Name:PRIANES, MILAGROS JAMITO
Entity Type:Individual
Prefix:MRS
First Name:MILAGROS
Middle Name:JAMITO
Last Name:PRIANES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 S 11TH ST APT 9
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-7126
Mailing Address - Country:US
Mailing Address - Phone:818-641-9856
Mailing Address - Fax:
Practice Address - Street 1:406 S 11TH ST APT 9
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-7126
Practice Address - Country:US
Practice Address - Phone:818-641-9856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner