Individual
NICOLE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
821 N MOJAVE RD, LAS VEGAS, NV 89101-2407
(702) 642-7070
Mailing address
821 N MOJAVE RD, LAS VEGAS, NV 89101-2407
(702) 642-7070
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PT036
NV
Other
Enumeration date
08/13/2020
Last updated
12/14/2022
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