MEDICARE: IRINA V JAGUPOVA

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	171R00000X	Interpreter	TC1045	WA

General Provider Information

NPI Number	:	1619786118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRINA V JAGUPOVA

Provider Business Mailing Address
First Line	:	3930 UNIVERSITY CENTER DR APT 805
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7271
Country	:	US
Telephone Number	:	206-661-0290
Fax Number	:

Provider Business Practice Location Address
First Line	:	3930 UNIVERSITY CENTER DR APT 805
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7271
Country	:	US
Telephone Number	:	206-661-0290
Fax Number	:

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

Provider Enumeration Date	:	12/31/2024
Last Update Date	:	12/31/2024

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Directions to “ IRINA V JAGUPOVA ” Practice Location

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