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NPI Code Detail

MEDICARE: GABRIELLA NATASHYA PUNO

MEDICARE: GABRIELLA NATASHYA PUNO
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
1372600000XAdult Companion

General Provider Information

NPI Number : 1831769041
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLA NATASHYA PUNO
Provider Business Mailing Address
First Line : 1820 E SAHARA AVE STE 114
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3736
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1820 E SAHARA AVE STE 114
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3736
Country : US
Telephone Number : 702-262-1202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2021
Last Update Date : 06/29/2021

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Directions to “ GABRIELLA NATASHYA PUNO ” Practice Location

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