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NPI 1417831140

IndividualActive

Richard Yvanovich

NPI 1417831140 · Driver · Las Vegas, NV

Provider details

NPI number: 1417831140
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: No
License: 1606111384 (NV)

Practice location

9083 Jade Vine Ave

Las Vegas, NV 89148-2620

Phone: (702) 793-1195

More NV providers

Mailing address

9083 Jade Vine Ave

Las Vegas, NV 89148-2620

Registry dates

Enumerated: 2025-08-05
Last updated: 2025-08-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Richard Yvanovich — NPI 1417831140, Las Vegas, NV | NPI Central