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Individual

MAI TUYET LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3175 SAINT ROSE PKWY STE 121, HENDERSON, NV 89052-3507
(702) 802-5100
(702) 202-1066
Mailing address
3175 SAINT ROSE PKWY STE 121, HENDERSON, NV 89052-3507
(702) 802-5100
(702) 202-1066

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
1242486
NV
363A00000X
Physician Assistant
Primary
PA0786
NV

Other

Enumeration date
03/06/2026
Last updated
04/22/2026
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