MEDICARE: YASMIN MAURO SA-C

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	246ZX2200X	Orthopedic Assistant	16-638	NV
2	246ZC0007X	Surgical Assistant	16-638	NV

General Provider Information

NPI Number	:	1073038626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASMIN MAURO SA-C

Provider Business Mailing Address
First Line	:	7205 ALMERTA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-8032
Country	:	US
Telephone Number	:	17024618915
Fax Number	:

Provider Business Practice Location Address
First Line	:	7205 ALMERTA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-8032
Country	:	US
Telephone Number	:	17024618915
Fax Number	:

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

Provider Enumeration Date	:	08/04/2017
Last Update Date	:	05/08/2019

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Directions to “ YASMIN MAURO SA-C” Practice Location

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