Individual
JANETH LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 E WINDMILL LN STE 155, LAS VEGAS, NV 89123-1844
(702) 800-2723
Mailing address
85 WAGON BOX RD, HENDERSON, NV 89012-2627
(760) 622-7898
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2771
NV
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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