Individual
MRS. JILL DUTSON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2050 MARINER DR, LAS VEGAS, NV 89128-6656
(702) 228-9066
Mailing address
6813 PAINTED MORNING AVE, LAS VEGAS, NV 89142-3645
(702) 630-8831
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1696
NV
Other
Enumeration date
01/08/2016
Last updated
04/24/2018
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