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Individual

BLANCA ROCIO BOHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6210 N DURANGO DR, LAS VEGAS, NV 89149-3916
(702) 940-1540
(702) 940-1541
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1101
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992979751
NV
01
PA1101
STATE LICENSE
NV
Enumeration date
04/14/2008
Last updated
01/05/2024
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