Individual
ELIN IMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4905 W TROPICANA AVE, LAS VEGAS, NV 89103-5077
(866) 825-3227
(866) 397-1399
Mailing address
161 WASHINGTON ST, EIGHT TOWER BRIDGE STE. 1400, CONSHOHOCKEN, PA 19428-2083
(866) 825-3227
(866) 397-7399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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