Individual
ANDINWOH OROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
595 W LAKE MEAD PKWY, HENDERSON, NV 89015-7015
(702) 566-5500
(702) 558-7238
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA931
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154369619
—
NV
01
—
PA931
NEVADA STATE LICENSE
NV
Enumeration date
06/04/2006
Last updated
07/30/2019
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