Individual
MYRANDA LUONG GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1934 E SAHARA AVE, LAS VEGAS, NV 89104-3842
(702) 369-5758
(702) 431-1860
Mailing address
8906 SPANISH RIDGE AVE STE 202, LAS VEGAS, NV 89148-1319
(702) 330-3102
(702) 912-4994
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2799
NV
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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