Individual
ANNIE C YIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 N BLAGG RD, PAHRUMP, NV 89060-1946
(775) 751-6600
Mailing address
10092 TROTTER PEAK ST, LAS VEGAS, NV 89178-5508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1016
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001697754
—
NV
Enumeration date
09/01/2017
Last updated
06/16/2018
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