Individual
MARLON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 S VALLEY VIEW BLVD STE 195, LAS VEGAS, NV 89107-4430
(702) 960-0003
Mailing address
900 S VALLEY VIEW BLVD STE 195, LAS VEGAS, NV 89107-4430
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
NV20201768213
NV
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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