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NPI Code Detail

MEDICARE: DR YOLANDA A TREVINO LLC

MEDICARE: DR YOLANDA A TREVINO LLC
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
1106H00000XMarriage & Family Therapist0936NV

General Provider Information

NPI Number : 1023216884
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR YOLANDA A TREVINO LLC
Provider Business Mailing Address
First Line : 2580 MONTESSOURI STREET
Second Line : SUITE 101A
City : LAS VEGAS
State : NV
Zip : 89117-3065
Country : US
Telephone Number : 702-932-0146
Fax Number : 702-256-2295
Provider Business Practice Location Address
First Line : 2580 MONTESSOURI STREET
Second Line : SUITE 101A
City : LAS VEGAS
State : NV
Zip : 89117-3065
Country : US
Telephone Number : 702-932-0146
Fax Number : 702-256-2295
Authorized Official
Title or Position : OWNER
Name : DR. YOLANDA A TREVINO
Credential : PHD
Telephone Number : 702-932-0146
Provider Enumeration Date : 07/03/2007
Last Update Date : 08/22/2020

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Directions to “DR YOLANDA A TREVINO LLC ” Practice Location

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