Individual
MARCOS IVAN CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1625 E PRATER WAY STE 103, SPARKS, NV 89434-8963
(702) 809-2222
Mailing address
3607 RUIDOSO ST, RENO, NV 89512-7314
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12153
NV
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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