Individual
PATRICIA MARIA GANJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5741 S FORT APACHE RD STE 120, LAS VEGAS, NV 89148-5622
(702) 798-0111
(844) 247-3481
Mailing address
5130 S FORT APACHE RD STE 215-232, LAS VEGAS, NV 89148-1719
(702) 281-8727
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 1391
NV
Other
Enumeration date
10/31/2012
Last updated
07/03/2019
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