Individual
NYLA SALINA ABBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10105 BANBURRY CROSS DR STE 105, LAS VEGAS, NV 89144-6646
(702) 854-3220
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1926
NV
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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