Provider Demographics
NPI:1013605641
Name:FUNK, YOKO-FRANCOISE
Entity type:Individual
Prefix:
First Name:YOKO-FRANCOISE
Middle Name:
Last Name:FUNK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6842 FALLEN ROCK ST
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-2582
Mailing Address - Country:US
Mailing Address - Phone:702-278-7628
Mailing Address - Fax:
Practice Address - Street 1:6842 FALLEN ROCK ST
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-2582
Practice Address - Country:US
Practice Address - Phone:702-278-7628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider