Angelita Tan-torres PA-C

NPI 1861470890 - Physician Assistant - 363A00000X

NPI Details
NPI 1861470890
Gender Female
Enumeration Date 01/09/2006
Last Updated 01/20/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3201 S MARYLAND PKWY
#400
LAS VEGAS NV, 89109-2441, US
Phone (702) 262-1130
Fax (702) 262-1161
Business Location
PO BOX 98978
LAS VEGAS NV, 89193-8978, US
Phone (702) 216-3346
Fax (702) 671-6883
Toxanomy
Taxonomy Code 363A00000X
License State Nevada
License Number PA787
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According to our database, Angelita Tan-torres PA-C NPI is 1861470890, taxonomy code is 363A00000X and license number is PA787, license state is located at Nevada. Angelita Tan-torres PA-C physically located at 3201 S Maryland Pkwy, Las Vegas NV, 89109-2441. NPI Number Angelita Tan-torres PA-C has the Individual type.

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1861470890 NPI number is provided on an as is basis without warranty of any kind. 1861470890 is maintained by the National Plan & Provider Enumeration System. The contents of Angelita Tan-torres PA-C are for informational purposes only.