Individual
KIMBERLY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 S FORT APACHE RD UNIT 110, LAS VEGAS, NV 89148-5061
(970) 778-8841
Mailing address
6655 S FORT APACHE RD UNIT 110, LAS VEGAS, NV 89148-5061
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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