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NPI Code Detail

MEDICARE: YUSILAINE PRADO

MEDICARE:   YUSILAINE  PRADO
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
23747A0650XAttendant Care Provider
3376J00000XHomemaker
43747P1801XPersonal Care Attendant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12105304057OTHERNVDRIVER LICENSE

General Provider Information

NPI Number : 1841708203
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUSILAINE PRADO
Provider Business Mailing Address
First Line : 3159 PALMDALE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-2732
Country : US
Telephone Number : 702-503-4762
Fax Number :
Provider Business Practice Location Address
First Line : 3159 PALMDALE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-2732
Country : US
Telephone Number : 702-503-4762
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2018
Last Update Date : 01/18/2018

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Directions to “ YUSILAINE PRADO ” Practice Location

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