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NPI Code Detail

MEDICARE: RENEW YOUR MIND LLC

MEDICARE: RENEW YOUR MIND LLC
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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1356042915
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENEW YOUR MIND LLC
Provider Business Mailing Address
First Line : 3256 CIVIC CENTER DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-8101
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3256 CIVIC CENTER DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-8101
Country : US
Telephone Number : 702-824-6353
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : YANARA SARMIENTO BARRIEL
Credential :
Telephone Number : 702-824-6353
Provider Enumeration Date : 03/13/2023
Last Update Date : 03/13/2023

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Directions to “RENEW YOUR MIND LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.