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NPI Code Detail

MEDICARE: WAYLON-REIS KAAI-ENGLISH

MEDICARE: WAYLON-REIS KAAI-ENGLISH
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 : 1477002418
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAYLON-REIS KAAI-ENGLISH
Provider Business Mailing Address
First Line : 2472 CAPISTRANO AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-2106
Country : US
Telephone Number : 702-782-4550
Fax Number :
Provider Business Practice Location Address
First Line : 2472 CAPISTRANO AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-2106
Country : US
Telephone Number : 702-782-4550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2016
Last Update Date : 10/03/2016

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Directions to “ WAYLON-REIS KAAI-ENGLISH ” 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.

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