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Individual

MARIAMMA L. JOSEPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4760 BLUE DIAMOND RD. STE. 110, LAS VEGAS, NV 89137
(702) 383-2300
(702) 678-1886
Mailing address
1800 W. CHARLESTON BLVD. STE. 508, LAS VEGAS, NV 89102
(702) 383-2688
(702) 671-6595

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1420
NV
363A00000X
Physician Assistant

Other

Enumeration date
06/03/2010
Last updated
08/31/2018
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