MEDICARE: DR. YARA ROSA MARCHENA

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
1	3747P1801X	Personal Care Attendant
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1376901918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YARA ROSA MARCHENA

Provider Business Mailing Address
First Line	:	5143 TITANIUM CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-1644
Country	:	US
Telephone Number	:	702-488-5833
Fax Number	:

Provider Business Practice Location Address
First Line	:	5143 TITANIUM CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-1644
Country	:	US
Telephone Number	:	702-488-5833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2016
Last Update Date	:	04/19/2022

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Directions to “ DR. YARA ROSA MARCHENA ” Practice Location

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