Individual
MISS TERESITA D RAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3257
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191
(702) 653-3257
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA884
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505584
—
NV
Enumeration date
10/19/2006
Last updated
11/28/2017
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