Individual
MARISSA SUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7320 SMOKE RANCH RD STE H, LAS VEGAS, NV 89128-0259
(725) 696-5225
Mailing address
10765 ELK LAKE DR, LAS VEGAS, NV 89144-4442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-3491
NV
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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