Individual
MICHAEL MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1811 S JONES BLVD, LAS VEGAS, NV 89146-1259
(702) 257-9638
(702) 974-1653
Mailing address
1811 S JONES BLVD, LAS VEGAS, NV 89146-1259
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/29/2019
Last updated
07/31/2019
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