MEDICARE: YUDITNYE SAEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	372500000X	Chore Provider	NV
2	372600000X	Adult Companion	NV
3	3747A0650X	Attendant Care Provider	NV
4	376J00000X	Homemaker	NV
5	3747P1801X	Personal Care Attendant	NV

General Provider Information

NPI Number	:	1720630528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUDITNYE SAEZ

Provider Business Mailing Address
First Line	:	3355 SPRING MOUNTAIN RD STE 67
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8633
Country	:	US
Telephone Number	:	702-909-6391
Fax Number	:

Provider Business Practice Location Address
First Line	:	6170 LA PALMA PKWY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1424
Country	:	US
Telephone Number	:	702-816-7057
Fax Number	:

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

Provider Enumeration Date	:	07/11/2019
Last Update Date	:	07/11/2019

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Directions to “ YUDITNYE SAEZ ” Practice Location

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