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NPI Code Detail

MEDICARE: JOVELL SALDUA

MEDICARE:   JOVELL  SALDUA
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1356725741
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOVELL SALDUA
Provider Business Mailing Address
First Line : 1600 E DESERT INN RD
Second Line : 104
City : LAS VEGAS
State : NV
Zip : 89169-2525
Country : US
Telephone Number : 702-490-9009
Fax Number :
Provider Business Practice Location Address
First Line : 1600 E DESERT INN RD
Second Line : 104
City : LAS VEGAS
State : NV
Zip : 89169-2525
Country : US
Telephone Number : 702-490-9009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2015
Last Update Date : 07/15/2015

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Directions to “ JOVELL SALDUA ” Practice Location

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