MEDICARE: TATIANA HAYEUSKAYA

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	171R00000X	Interpreter

General Provider Information

NPI Number	:	1043462328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TATIANA HAYEUSKAYA

Provider Business Mailing Address
First Line	:	3116 W LAKE ST UNIT 325
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55416-5259
Country	:	US
Telephone Number	:	612-432-4111
Fax Number	:

Provider Business Practice Location Address
First Line	:	3116 W LAKE ST UNIT 325
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55416-5259
Country	:	US
Telephone Number	:	612-432-4111
Fax Number	:

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

Provider Enumeration Date	:	10/17/2008
Last Update Date	:	10/17/2008

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