Provider Demographics
NPI:1114891009
Name:CRUZ GALI, YUSET
Entity type:Individual
Prefix:
First Name:YUSET
Middle Name:
Last Name:CRUZ GALI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5276 LOOKOUT ST STE 105B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-1249
Mailing Address - Country:US
Mailing Address - Phone:702-485-9479
Mailing Address - Fax:
Practice Address - Street 1:5276 LOOKOUT ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-1249
Practice Address - Country:US
Practice Address - Phone:702-485-9479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant