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NPI Code Detail

MEDICARE: EMMANUEL AIYUK

MEDICARE: EMMANUEL AIYUK
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
1103K00000XBehavior Analyst
2183700000XPharmacy TechnicianPT15079NV

General Provider Information

NPI Number : 1114340460
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMANUEL AIYUK
Provider Business Mailing Address
First Line : 3171 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-6703
Country : US
Telephone Number : 702-586-8693
Fax Number : 702-476-2690
Provider Business Practice Location Address
First Line : 3171 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-6703
Country : US
Telephone Number : 702-586-8693
Fax Number : 702-476-2690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2014
Last Update Date : 01/22/2014

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Directions to “ EMMANUEL AIYUK ” Practice Location

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