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Individual

REBECCA REGINA D'SILVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1302 W CRAIG RD, N LAS VEGAS, NV 89032-0246
(702) 657-9555
(702) 657-9040
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2256
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710512835
NV
01
PA2256
STATE LICENSE
NV
Enumeration date
03/09/2020
Last updated
05/16/2023
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