Individual
EMMA BACHARACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
973 MICA DRIVE, SUITE 201, CARSON CITY, NV 89705
(775) 783-6190
Mailing address
973 MICA DR STE 201, CARSON CITY, NV 89705-7258
(775) 783-6190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2051
NV
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA2051
—
NV
Enumeration date
11/18/2015
Last updated
07/21/2021
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