Individual
MONTEAL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5546 CAMINO AL NORTE, 2-333, NORTH LAS VEGAS, NV 89031-0805
(702) 910-3230
Mailing address
3109 N MICHAEL WAY, UNIT C, LAS VEGAS, NV 89108-4101
(702) 542-5296
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NVPY0416
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20131272827
—
NV
Enumeration date
01/22/2014
Last updated
01/22/2014
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