Individual
MARQUIS A GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6551 MCCARRAN ST APT 3091, NORTH LAS VEGAS, NV 89086-1448
(214) 940-4240
Mailing address
1049 HASSELL AVE, LAS VEGAS, NV 89106-2321
(702) 272-6355
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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