Individual
JEANETTE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4423 W FLAMINGO RD, LAS VEGAS, NV 89103-3703
(702) 458-1137
(702) 458-1423
Mailing address
6411 RUSTICATED STONE AVE UNIT 101, HENDERSON, NV 89011-1675
(702) 583-2933
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN14731
NV
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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