Individual
MARIETA A NARCISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3933 CAPTAIN JON AVE, LAS VEGAS, NV 89104-5024
(702) 239-8254
Mailing address
3933 CAPTAIN JON AVE, LAS VEGAS, NV 89104-5024
(702) 239-8254
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NV
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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