Individual
JUDY CHAN PENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 N RAINBOW BLVD STE 203, LAS VEGAS, NV 89107-1084
(702) 259-1228
(702) 259-1252
Mailing address
6185 ANDOVER WOOD RD, LAS VEGAS, NV 89113-1882
(619) 846-9089
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1131185
NV
Other
Enumeration date
12/16/2015
Last updated
05/27/2025
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