MEDICARE: YOLANDA SERRANO AP

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
1	171100000X	Acupuncturist	3082	FL

General Provider Information

NPI Number	:	1649527029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDA SERRANO AP

Provider Business Mailing Address
First Line	:	721 TALIA CIR
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-6909
Country	:	US
Telephone Number	:	215-828-7604
Fax Number	:

Provider Business Practice Location Address
First Line	:	721 TALIA CIR
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-6909
Country	:	US
Telephone Number	:	215-828-7604
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2012
Last Update Date	:	08/05/2012

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Directions to “ YOLANDA SERRANO AP” Practice Location

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