Individual
MARIAM HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
270 W LAKE MEAD PKWY, HENDERSON, NV 89015-7093
(702) 877-5199
Mailing address
13310 N PLAZA DEL RIO BLVD UNIT 1005, PEORIA, AZ 85381-0007
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
06/16/2021
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