Individual
SANDRA OVIEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2480 PROFESSIONAL CT, LAS VEGAS, NV 89128-0835
(702) 405-7100
(702) 405-3017
Mailing address
PO BOX 33340, LAS VEGAS, NV 89133-3340
(702) 405-7100
(702) 405-3017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2479
NV
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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