Individual
CARRIE G WIJESINGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2847 SAINT ROSE PKWY, 150, HENDERSON, NV 89052-4843
(702) 248-7337
(702) 478-5465
Mailing address
2847 SAINT ROSE PKWY, 150, HENDERSON, NV 89052-4843
(702) 248-7337
(702) 478-5465
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9445
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018324
—
NV
05
—
003102315
—
NV
Enumeration date
06/21/2006
Last updated
08/15/2012
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