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Individual
NATASCHA RIVAS GARDONI
Active
Individual
NATASCHA RIVAS GARDONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1088764
TX
363A00000X
Physician Assistant
Primary
PA06532
TX
363AS0400X
Surgical Physician Assistant
PA06532
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294373002
—
TX
Enumeration date
02/10/2010
Last updated
12/28/2022
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