Individual
CARLENE J BAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191
(702) 653-2965
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6601
(702) 653-2965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2009
AZ
Other
Enumeration date
10/10/2006
Last updated
06/04/2018
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