Individual
MARIE CIVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 SUNDANCE DR APT L303, ELKO, NV 89801-4869
(775) 401-1927
Mailing address
3700 SUNDANCE DR APT L303, ELKO, NV 89801-4869
(775) 401-1927
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
15-1289
NV
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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