Individual
PATRICIA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9030 W SAHARA AVE # 183, LAS VEGAS, NV 89117-5744
(702) 664-2149
Mailing address
9030 W SAHARA AVE # 183, LAS VEGAS, NV 89117-5744
(702) 664-2149
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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