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NPI Code Detail

MEDICARE: MRS. JASMINE ALEXIS PEREZ

MEDICARE: MRS. JASMINE ALEXIS PEREZ
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCI5682NV

General Provider Information

NPI Number : 1508709627
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JASMINE ALEXIS PEREZ
Provider Business Mailing Address
First Line : 850 E DESERT INN RD APT 403
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-9302
Country : US
Telephone Number : 858-504-1242
Fax Number :
Provider Business Practice Location Address
First Line : 2820 W CHARLESTON BLVD STE 21
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1930
Country : US
Telephone Number : 702-742-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ MRS. JASMINE ALEXIS PEREZ ” Practice Location

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