Individual
PRATHIBHA SRIKANTAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, MS
Contact information
Practice address
6230 N DURANGO DR, LAS VEGAS, NV 89149-3916
(702) 737-3937
Mailing address
6230 N DURANGO DR, LAS VEGAS, NV 89149-3916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1181
NV
Other
Enumeration date
03/16/2022
Last updated
02/12/2024
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