person
Dr. Sofia M Fagan, DO
Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada
NPI 1912266222

Sofia M Fagan is a Student in an Organized Health Care Education/Training Program based in Las Vegas, NV. Sofia M Fagan practices in Las Vegas, NV and has the professional credentials of DO. The NPI Number for Sofia M Fagan is 1912266222 and holds a License No. (Nevada).

The current practice location address for Sofia M Fagan is 2410 Fire Mesa St Ste 180, Las Vegas, NV and can be reached out via phone at 702-992-6875.

Location: 2410 Fire Mesa St Ste 180, Las Vegas, NV, 89128-9017
person
Provider Profile Details
NPI Number
1912266222
Provider Name
Sofia M Fagan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2410 Fire Mesa St Ste 180, Las Vegas, NV, 89128-9017
Phone Number
702-992-6875
Fax Number
Provider Enumeration Date
05/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2410 Fire Mesa St Ste 180
City
State
Zip
89128-9017
Phone Number
702-992-6875
Fax Number
person
Provider Business Mailing Address Details
Address
2410 Fire Mesa St Ste 180
City
State
Zip
89128-9017
Phone Number
702-992-6875
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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