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Individual

SYLWIA ANGELICA GRACZYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7391 W CHARLESTON BLVD, SUITE 140, LAS VEGAS, NV 89117-1577
(702) 304-2144
(702) 304-2147
Mailing address
861 CORONADO CENTER DR STE 211, HENDERSON, NV 89052-3992
(702) 407-8241
(702) 492-1728

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA054215
PA
363AM0700X
Medical Physician Assistant
Primary
PA1285
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801122478
NV
Enumeration date
11/02/2009
Last updated
01/26/2021
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