Individual
MARCO MONTENEGRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2455 W SERENE AVE APT 202, LAS VEGAS, NV 89123-6559
(702) 515-9523
Mailing address
2455 W SERENE AVE APT 202, LAS VEGAS, NV 89123-6559
(702) 515-9523
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
608-T28
NV
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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