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NPI Code Detail

MEDICARE: JOSE GARIEL YLAGAN RN

MEDICARE: JOSE GARIEL YLAGAN RN
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
1163WH0200XHome Health Registered Nurse831485NV
2163W00000XRegistered Nurse831485NV

General Provider Information

NPI Number : 1376300202
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE GARIEL YLAGAN RN
Provider Business Mailing Address
First Line : 8251 W SUNSET RD UNIT 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2296
Country : US
Telephone Number : 702-831-2676
Fax Number :
Provider Business Practice Location Address
First Line : 6045 S FORT APACHE RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5565
Country : US
Telephone Number : 702-948-5095
Fax Number : 702-948-5115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2024
Last Update Date : 03/06/2024

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Directions to “ JOSE GARIEL YLAGAN RN” Practice Location

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