Individual
MARTHA CECILIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 E PATRICK LN, LAS VEGAS, NV 89120-3927
(702) 467-5597
Mailing address
3920 E PATRICK LN, LAS VEGAS, NV 89120-3927
(702) 467-5597
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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