Individual
VALERIA ASIMENIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4835 S DURANGO DR, LAS VEGAS, NV 89147-8171
(702) 877-5199
(702) 984-5194
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 877-5199
(702) 984-5194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13063
NV
207R00000X
Internal Medicine Physician
203856
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821195413
—
NV
01
—
BV309Z
MEDICARE REVALIDATION
NV
Enumeration date
09/17/2006
Last updated
01/17/2017
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