| Doctor Name: | MAREITTA YERKATYAN |
| NPI Number: | 1528437035 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 3111 S Valley View Blvd Ste A219 Las Vegas, NV - 891028317 |
| Business Phone Number: | 7028683396 |
| Business Fax Number: | 7028682964 |
| Mailing Address: | 3111 S Valley View Blvd, Ste A219 LAS VEGAS |
| State: | NV |
| Postal Code: | 891028317 |
| Phone Number: | 7028683396 |
| Fax Number: | 7028682964 |
| NPI Enumeration Date: | 09/15/2015 |
| NPI Last Update Date: | 09/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |