Individual
MAVIES FERMIN GASCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMY, MMP
Contact information
Practice address
7455 W WASHINGTON AVE STE 210, LAS VEGAS, NV 89128-4338
(702) 489-6640
Mailing address
217 W CHICAGO AVE APT D, LAS VEGAS, NV 89102-2825
(702) 917-5098
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NVMT.6495
NV
Other
Enumeration date
07/04/2018
Last updated
06/11/2019
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