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NPI Code Detail

MEDICARE: CHARLENE YUN

MEDICARE:   CHARLENE  YUN
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
1225XP0019XPhysical Rehabilitation Occupational TherapistOT14510CA

General Provider Information

NPI Number : 1396233128
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLENE YUN
Provider Business Mailing Address
First Line : 2930 SIENA HEIGHTS DR
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3871
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2930 SIENA HEIGHTS DR
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3871
Country : US
Telephone Number : 661-347-6351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2018
Last Update Date : 06/30/2020

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Directions to “ CHARLENE YUN ” Practice Location

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