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NPI Code Detail

MEDICARE: SARAI VASQUEZ LPN

MEDICARE: SARAI VASQUEZ LPN
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
1164W00000XLicensed Practical Nurse813037NV

General Provider Information

NPI Number : 1548662489
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAI VASQUEZ LPN
Provider Business Mailing Address
First Line : 2887 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-1511
Country : US
Telephone Number : 702-474-4104
Fax Number : 702-474-4108
Provider Business Practice Location Address
First Line : 2887 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-1511
Country : US
Telephone Number : 702-474-4104
Fax Number : 702-474-4108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2014
Last Update Date : 07/02/2025

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Directions to “ SARAI VASQUEZ LPN” Practice Location

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