Individual ProviderDaisy LeyvaTechnicianNursing Service Related ProvidersPractice Address2770 S Maryland Pkwy # 108b-G, Las Vegas, NV 89109-1554(702) 463-7779PECOS EnrollmentBased on the most recent information from CMS, provider Daisy Leyva does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1104479773Provider TypeIndividualFull NameLeyva, DaisyGenderFemaleSole ProprietorYesEnumeration Date7/22/2019Last Updated7/22/2019Contact InformationPractice LocationPractice Address2770 S Maryland Pkwy # 108b-G, Las Vegas, NV 89109-1554Phone(702) 463-7779FaxUnlisted FaxMailing LocationMailing Address4722 Hackamore Dr, Las Vegas, NV 89103-4313PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode3747P1801XPrimaryDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer