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Individual

DIANA PATRICIA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3802 MEADOWS LN, LAS VEGAS, NV 89107-3112
(702) 313-8446
(702) 384-8446
Mailing address
7720 W SAHARA AVE, STE 103, LAS VEGAS, NV 89117-2754
(702) 228-9888
(866) 920-0799

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1119
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA1119
NV PA LICENSE
NV
Enumeration date
08/29/2008
Last updated
11/11/2016
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