Individual
MARTHA LILIBETH GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S RANCHO DR STE A10, LAS VEGAS, NV 89106-4898
(702) 437-4673
Mailing address
3805 EL CEDERAL AVE, LAS VEGAS, NV 89102-3895
(702) 539-0960
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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