Individual
FABIOLA SUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3270 N BUFFALO DR, LAS VEGAS, NV 89129-7402
(702) 676-2000
Mailing address
963 CARNIVAL AVE, LAS VEGAS, NV 89123-0916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2213
NV
Other
Enumeration date
01/01/2020
Last updated
10/21/2024
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