Individual
ASLEY YASMANY RODRIGUEZ-FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3225 S PECOS RD APT 284, LAS VEGAS, NV 89121-2340
(702) 587-6750
Mailing address
3225 S PECOS RD APT 284, LAS VEGAS, NV 89121-2340
(702) 587-6750
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821520016
—
NV
Enumeration date
12/18/2019
Last updated
12/18/2019
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