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Individual

CAROL P VIELEHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
10001 S EASTERN AVE STE 310, HENDERSON, NV 89052
(702) 566-2400
(702) 433-2477
Mailing address
10001 S EASTERN AVE STE 310, HENDERSON, NV 89052-3908
(702) 566-2400
(702) 433-2477

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PA1538
NV
363A00000X
Physician Assistant
013268
NY
363A00000X
Physician Assistant
PA1314
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1972829794
ME
Enumeration date
04/19/2010
Last updated
10/04/2018
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