Individual ProviderMagdalena AnzaldoTechnicianNursing Service Related ProvidersPractice Address2770 S Maryland Pkwy, Las Vegas, NV 89109-1554(702) 824-6353PECOS EnrollmentBased on the most recent information from CMS, provider Magdalena Anzaldo 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 ID1427530070Provider TypeIndividualFull NameAnzaldo, MagdalenaGenderFemaleSole ProprietorYesEnumeration Date8/30/2018Last Updated8/30/2018Contact InformationPractice LocationPractice Address2770 S Maryland Pkwy, Las Vegas, NV 89109-1554Phone(702) 824-6353FaxUnlisted FaxMailing LocationMailing Address852 Tucson St, Mesquite, NV 89027-7014PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode3747P1801XPrimaryDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer