Individual ProviderDeisy AndinoTechnicianNursing Service Related ProvidersPractice Address2770 S Maryland Pkwy Ste 418b, Las Vegas, NV 89109-1554(702) 463-7779(702) 954-1392PECOS EnrollmentBased on the most recent information from CMS, provider Deisy Andino 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 ID1396226601Provider TypeIndividualFull NameAndino, DeisyGenderFemaleSole ProprietorYesEnumeration Date8/24/2018Last Updated8/24/2018Contact InformationPractice LocationPractice Address2770 S Maryland Pkwy Ste 418b, Las Vegas, NV 89109-1554Phone(702) 463-7779FaxUnlisted FaxMailing LocationMailing Address2977 Jupiter Hill, 102, Las Vegas, NV 89142Phone(702) 954-1392FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode3747P1801XPrimaryDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer