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Individual

HEATHER POULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2225 CIVIC CENTER DR STE 224, NORTH LAS VEGAS, NV 89030-6332
(702) 214-5948
(702) 214-9439
Mailing address
3900 CAMBRIDGE ST STE 102, LAS VEGAS, NV 89119-7440
(702) 307-5414
(702) 307-5416

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2161
NV

Other

Enumeration date
06/10/2019
Last updated
09/16/2025
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