Provider Demographics
NPI:1255026118
Name:PRECIADO-MANCIA, ESTER MADGALENA
Entity type:Individual
Prefix:
First Name:ESTER
Middle Name:MADGALENA
Last Name:PRECIADO-MANCIA
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 1:3221 LAGOMARSINO DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-1162
Mailing Address - Country:US
Mailing Address - Phone:775-470-1842
Mailing Address - Fax:
Practice Address - Street 1:3221 LAGOMARSINO DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-1162
Practice Address - Country:US
Practice Address - Phone:775-470-1842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide