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Individual

MRS. GINA NICOLE VENDITTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
3758 LAS VEGAS BLVD S, LAS VEGAS, NV 89109-4132
(702) 262-9028
(702) 736-3921
Mailing address
3758 LAS VEGAS BLVD S, LAS VEGAS, NV 89109-4132
(702) 262-9028
(702) 736-3921

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9102437
FL
363AM0700X
Medical Physician Assistant
Primary
PA 1224
NV

Other

Enumeration date
07/15/2006
Last updated
09/07/2010
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