Individual
HEATHER MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6110 VILLA DE PICASSO AVE, LAS VEGAS, NV 89131-5905
(702) 468-4700
Mailing address
PO BOX 750686, LAS VEGAS, NV 89136-0686
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2015
Last updated
04/18/2015
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