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NPI Code Detail

MEDICARE: ROSALIND TAMAYO

MEDICARE:   ROSALIND  TAMAYO
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
1164W00000XLicensed Practical Nurse823255NV

General Provider Information

NPI Number : 1528246873
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSALIND TAMAYO
Provider Business Mailing Address
First Line : 300 HILLMONT AVE
Second Line :
City : VENTURA
State : CA
Zip : 93003-1651
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4040 S EASTERN AVE STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-0854
Country : US
Telephone Number : 702-463-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2008
Last Update Date : 01/12/2024

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Directions to “ ROSALIND TAMAYO ” Practice Location

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