Individual
YANDRY RODRIGUEZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4535 W RUSSELL RD STE 15, LAS VEGAS, NV 89118-2258
(702) 368-2380
Mailing address
3145 AVONDALE AVE, LAS VEGAS, NV 89121-2601
(702) 748-5679
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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