Individual
IZEL OLITA GAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7 LADASA CT, HENDERSON, NV 89074-2947
(702) 481-5039
Mailing address
7 LADASA CT, HENDERSON, NV 89074-2947
(702) 481-5039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
873736
NV
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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