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NPI Code Detail

MEDICARE: MS. SABRINA PORRAS

MEDICARE:  MS. SABRINA  PORRAS
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
1103TR0400XRehabilitation Psychologist103KOOOOOXNV

General Provider Information

NPI Number : 1750636577
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SABRINA PORRAS
Provider Business Mailing Address
First Line : 555 E SILVERADO RANCH BLVD
Second Line : UNIT 2082
City : LAS VEGAS
State : NV
Zip : 89183
Country : US
Telephone Number : 702-572-8174
Fax Number : 186-687-5398
Provider Business Practice Location Address
First Line : 555 E SILVERADO RANCH BLVD
Second Line : UNIT 2082
City : LAS VEGAS
State : NV
Zip : 89183-6286
Country : US
Telephone Number : 702-572-8174
Fax Number : 186-687-5398
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2012
Last Update Date : 07/18/2012

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Directions to “ MS. SABRINA PORRAS ” Practice Location

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