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Individual

MRS. KRISTINA M NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPAS, PA-C

Contact information

Practice address
3835 S JONES BLVD, 104, LAS VEGAS, NV 89103-7125
(702) 880-4193
(702) 880-4197
Mailing address
239 JORDAN BRYCE DR, LAS VEGAS, NV 89183-5225
(702) 461-7958

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1258
NV

Other

Enumeration date
03/09/2011
Last updated
06/29/2012
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