Individual
MIAH MOLLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 383-2000
Mailing address
1377 CERRAMAR CT, EAGLE, ID 83616-5227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1635
ID
363A00000X
Physician Assistant
PA1799
NV
Other
Enumeration date
12/16/2016
Last updated
01/29/2019
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