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NPI Code Detail

MEDICARE: YASMIN TAMAYO

MEDICARE: YASMIN TAMAYO
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1568126282
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASMIN TAMAYO
Provider Business Mailing Address
First Line : 5155 BLUE DIAMOND RD STE 102 # 2794
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-7698
Country : US
Telephone Number : 702-557-4399
Fax Number : 702-344-2281
Provider Business Practice Location Address
First Line : 5155 BLUE DIAMOND RD STE 102 # 2794
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-7698
Country : US
Telephone Number : 702-557-4399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2021
Last Update Date : 01/08/2026

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Directions to “ YASMIN TAMAYO ” Practice Location

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