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Individual

RACHEL ANN CALDERON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Mailing address
4060 DUSTIN AVE, LAS VEGAS, NV 89120-2610
(402) 429-5454

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1179653
NV
363AS0400X
Surgical Physician Assistant
Primary
PA2404
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1336737659
NV
01
PA2404
NV LICENSE
NV
Enumeration date
01/03/2021
Last updated
02/01/2021
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