Dubose, Maria Logotaeao
Dubose, Maria Logotaeao is an individual health care provider with primary practice located at 2380 W Horizon Ridge Pkwy Suite 110, Henderson NV 89052-5078. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dubose, Maria Logotaeao can be contacted via phone (702) 823-4255.Contact Information
Primary practice address
2380 W Horizon Ridge Pkwy Suite 110
Henderson NV 89052-5078
Phone: (702) 823-4255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA1585 | Nevada |
Profile Details
| NPI number | 1235527912 |
|---|---|
| LBN Legal business name | Dubose, Maria Logotaeao |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2015 |
| Last updated | Jan 2nd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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