Most Relevant Information
Provider Data
| NPI Number: | 1003439399 |
| Provider Name: | YANILA RODRIGUEZ-MATOS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/21/2020 |
| Last Updated: | 05/21/2020 |
Provider Practice Location
2801 S VALLEY VIEW BLVD
LAS VEGAS
NV
891020116
Practice Location Phone/Fax
| Phone: | 7029095037 |
| Fax: |
Provider Mailing Location
2801 S VALLEY VIEW BLVD
LAS VEGAS
NV
891020116
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |