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NPI Code Detail

MEDICARE: MARIE STEPHANIE DIAZ UYLOAN

MEDICARE:   MARIE STEPHANIE DIAZ UYLOAN
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
13747P1801XPersonal Care AttendantNV

General Provider Information

NPI Number : 1548891682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE STEPHANIE DIAZ UYLOAN
Provider Business Mailing Address
First Line : 1771 E FLAMINGO RD STE 230A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-0851
Country : US
Telephone Number : 818-932-4224
Fax Number :
Provider Business Practice Location Address
First Line : 1771 E FLAMINGO RD STE 230A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-0851
Country : US
Telephone Number : 702-476-2840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2020
Last Update Date : 01/28/2020

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Directions to “ MARIE STEPHANIE DIAZ UYLOAN ” Practice Location

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