Individual
COLLEEN ROSE RAETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.- C
Contact information
Practice address
6900 N DURANGO DR, LAS VEGAS, NV 89149-4409
(702) 835-9700
Mailing address
500 N RAINBOW BLVD STE 203, LAS VEGAS, NV 89107-1084
(702) 259-1228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1330
NV
Other
Enumeration date
10/18/2011
Last updated
03/22/2018
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