Individual
DR. ANNIE LYNN PENACO DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2700 E SUNSET RD B18, LV, NV 89120
(702) 487-6510
(702) 405-7960
Mailing address
PO BOX 93358, LV, NV 89193
(702) 487-6510
(702) 405-7960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16203
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437447877
—
NV
Enumeration date
07/19/2011
Last updated
05/26/2022
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