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NPI Code Detail

MEDICARE: YESENIYA SULEYMANOVA RT

MEDICARE:   YESENIYA  SULEYMANOVA  RT
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
1227800000XCertified Respiratory TherapistRC2122NV

General Provider Information

NPI Number : 1346708666
Entity Type Code : Individual
Provider Name (Legal Business Name) : YESENIYA SULEYMANOVA RT
Provider Business Mailing Address
First Line : PO BOX 777851
Second Line :
City : HENDERSON
State : NV
Zip : 89077-7851
Country : US
Telephone Number : 702-893-3333
Fax Number : 702-893-0960
Provider Business Practice Location Address
First Line : 2235 E FLAMINGO RD STE 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5186
Country : US
Telephone Number : 702-893-3333
Fax Number : 702-893-0960
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2019
Last Update Date : 03/05/2019

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Directions to “ YESENIYA SULEYMANOVA RT” Practice Location

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