Individual
MARIA LOGOTAEAO DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
2380 W HORIZON RIDGE PKWY, SUITE 110, HENDERSON, NV 89052-5078
(702) 823-4255
Mailing address
2380 W HORIZON RIDGE PKWY, SUITE 110, HENDERSON, NV 89052-5078
(702) 823-4255
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1585
NV
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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