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NPI Code Detail

MEDICARE: YT ENTERPRISES PC

MEDICARE: YT ENTERPRISES PC
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 : 1952268054
Entity Type Code : Organization
Provider Name (Legal Business Name) : YT ENTERPRISES PC
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 :
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 : 702-344-2281
Authorized Official
Title or Position : OWNER
Name : YASMIN TAMAYO
Credential :
Telephone Number : 702-557-4399
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “YT ENTERPRISES PC ” Practice Location

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