Individual ProviderAlicia TraviesoTechnicianNursing Service Related ProvidersPractice Address2770 S Maryland Pkwy Ste 108b-G, Las Vegas, NV 89109-1554(702) 463-7779(702) 515-9020PECOS EnrollmentBased on the most recent information from CMS, provider Alicia Travieso 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 ID1437706199Provider TypeIndividualFull NameTravieso, AliciaGenderFemaleSole ProprietorYesEnumeration Date8/19/2019Last Updated8/19/2019Contact InformationPractice LocationPractice Address2770 S Maryland Pkwy Ste 108b-G, Las Vegas, NV 89109-1554Phone(702) 463-7779FaxUnlisted FaxMailing LocationMailing Address933 Prairie Grass Dr, Las Vegas, NV 89123-2660Phone(702) 515-9020FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode3747P1801XPrimaryDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer