Individual
MAYA RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4249 N COMMERCE ST UNIT 1055, NORTH LAS VEGAS, NV 89032-1193
(702) 712-2387
Mailing address
4249 N COMMERCE ST UNIT 1055, NORTH LAS VEGAS, NV 89032-1193
(702) 712-2387
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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