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NPI Code Detail

MEDICARE: YUJUAN LI

MEDICARE: YUJUAN LI
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 : 1689528838
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUJUAN LI
Provider Business Mailing Address
First Line : 3230 POLARIS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8350
Country : US
Telephone Number : 702-678-5089
Fax Number : 702-294-0222
Provider Business Practice Location Address
First Line : 3230 POLARIS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8350
Country : US
Telephone Number : 702-678-5089
Fax Number : 702-294-0222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ YUJUAN LI ” Practice Location

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