Provider Demographics
NPI:1649249608
Name:BEDUYA-PRINCER, MARIA TESSIE AROMA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA TESSIE
Middle Name:AROMA
Last Name:BEDUYA-PRINCER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4900 E BONANZA RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-3505
Mailing Address - Country:US
Mailing Address - Phone:725-205-4063
Mailing Address - Fax:702-920-7625
Practice Address - Street 1:4900 E BONANZA RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-3505
Practice Address - Country:US
Practice Address - Phone:725-205-4063
Practice Address - Fax:702-920-7625
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2024-01-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV10157207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine