Individual
MARTINEZ ANTUAN COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1755 PALM ST BLD T APT147, LAS VEGAS, NV 89104
(702) 808-1846
Mailing address
1755 PALM ST, LAS VEGAS, NV 89104-4700
(702) 808-1846
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
2600245340
NV
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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