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Individual

RHIANNA IRENE MCGOWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Mailing address
1445 STONELAKE COVE AVE APT 14305, HENDERSON, NV 89074-7913
(702) 622-5355
(702) 735-7921

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2558
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1750032777
NPI
NV
05
1750032777
NV
01
PA2558
NV MEDICAL LICENSE
NV
Enumeration date
01/11/2022
Last updated
03/08/2022
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