Individual
ANGELITA TAN-TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3201 S MARYLAND PKWY, #400, LAS VEGAS, NV 89109-2441
(702) 262-1130
(702) 262-1161
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA787
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500289
—
NV
01
—
CC5864
BLUE
NV
Enumeration date
01/09/2006
Last updated
01/20/2015
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