Individual ProviderCecilia AlfonsoTechnicianNursing Service Related ProvidersPractice Address2770 S Maryland Pkwy # 418b, Las Vegas, NV 89109-1554(702) 463-7779PECOS EnrollmentBased on the most recent information from CMS, provider Cecilia Alfonso 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 ID1316428535Provider TypeIndividualFull NameAlfonso, CeciliaGenderFemaleSole ProprietorYesEnumeration Date8/25/2018Last Updated8/25/2018Contact InformationPractice LocationPractice Address2770 S Maryland Pkwy # 418b, Las Vegas, NV 89109-1554Phone(702) 463-7779FaxUnlisted FaxMailing LocationMailing Address312 W Baltimore Ave Apt 8, Las Vegas, NV 89102-4955PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode3747P1801XPrimaryDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer