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PRINCESS EMILILY EL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10105 BANBURRY CROSS DR, #150, LAS VEGAS, NV 89144-6646
(702) 854-3220
(702) 854-3258
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
16731
CA
363A00000X
Physician Assistant
Primary
PA1702
NV

Other

Enumeration date
10/22/2009
Last updated
04/21/2021
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