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Individual

MRS. LESLIE M. REMEDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
540 N NELLIS BLVD, LAS VEGAS, NV 89110-5368
(702) 459-7424
(702) 459-0331
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 579-3270
(702) 459-0331

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA871
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1005004981
NV
01
1750329959
SMA MEDICAID
NV
01
V109701
SMA MEDICARE
NV
Enumeration date
06/02/2006
Last updated
08/19/2015
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