Individual
MARY JOY GATCHALIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6929 WINE RIVER DR, LAS VEGAS, NV 89119-4646
(626) 383-0780
Mailing address
6929 WINE RIVER DR, LAS VEGAS, NV 89119-4646
(626) 383-0780
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95025687
CA
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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