Organization
MARTINEZ CREATIVE PRODUCTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD MARTINEZ SR. (YOUTH COUNSELOR)
(702) 360-4669
Entity
Organization
Contact information
Practice address
7316 SAYBROOK POINT DR, LAS VEGAS, NV 89128-3205
(702) 360-4669
Mailing address
7316 SAYBROOK POINT DR, LAS VEGAS, NV 89128-3205
(702) 360-4669
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
B20-00667-J-112759
NV
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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