Individual
WENDI TSUKADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2845 SIENA HEIGHTS DR, HENDERSON, NV 89052-4153
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1568
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861899809
SMA MEDICAID
NV
Enumeration date
11/19/2014
Last updated
11/19/2024
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