MEDICARE: RENTON YU

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1033425855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENTON YU

Provider Business Mailing Address
First Line	:	4730 E CRAIG RD
Second Line	:	#1025
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-2591
Country	:	US
Telephone Number	:	702-292-5656
Fax Number	:

Provider Business Practice Location Address
First Line	:	4730 E CRAIG RD
Second Line	:	#1025
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-2591
Country	:	US
Telephone Number	:	702-292-5656
Fax Number	:

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

Provider Enumeration Date	:	08/31/2010
Last Update Date	:	08/31/2010

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Directions to “ RENTON YU ” Practice Location

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