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NPI Code Detail

MEDICARE: YANET PEREZ

MEDICARE:   YANET  PEREZ
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 Attendant

General Provider Information

NPI Number : 1578059275
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANET PEREZ
Provider Business Mailing Address
First Line : 4336 SPENCER ST APT 4
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6073
Country : US
Telephone Number : 702-272-8566
Fax Number :
Provider Business Practice Location Address
First Line : 4336 SPENCER ST APT 4
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6073
Country : US
Telephone Number : 702-272-8566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2018
Last Update Date : 07/05/2018

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Directions to “ YANET PEREZ ” Practice Location

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