Individual ProviderTefini Luani FonuaTechnicianNursing Service Related ProvidersPractice Address2770 S Maryland Pkwy Ste Eand213a, Las Vegas, NV 89109-1554(702) 445-6304PECOS EnrollmentBased on the most recent information from CMS, provider Tefini Luani Fonua 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 ID1366193237Provider TypeIndividualFull NameFonua, Tefini LuaniGenderFemaleSole ProprietorNoEnumeration Date1/12/2022Last Updated1/12/2022Contact InformationPractice LocationPractice Address2770 S Maryland Pkwy Ste Eand213a, Las Vegas, NV 89109-1554Phone(702) 445-6304FaxUnlisted FaxMailing LocationMailing Address2770 S Maryland Pkwy Ste Eand213a, Las Vegas, NV 89109-1554Phone(702) 445-6304FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode3747P1801XPrimaryDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer