Individual
DEMARIO MARSHUN MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 WYANDOTTE ST APT 1, LAS VEGAS, NV 89102-6412
(346) 670-1997
Mailing address
2801 WYANDOTTE ST APT 1, LAS VEGAS, NV 89102-6412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
S7C7N3Z9
NV
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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