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NPI Code Detail

MEDICARE: MRS. YOUDELINE FREDERIC ADAM MARSHALL

MEDICARE: MRS. YOUDELINE FREDERIC ADAM MARSHALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care AttendantNV

General Provider Information

NPI Number : 1093677510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. YOUDELINE FREDERIC ADAM MARSHALL
Provider Business Mailing Address
First Line : 2224 W WASHINGTON AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3619
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8275 S EASTERN AVE STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2545
Country : US
Telephone Number : 702-850-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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