Individual
MISS BROOKLYN BATMAN MARTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7120 SMOKE RANCH RD, LAS VEGAS, NV 89128-3157
(808) 359-1329
Mailing address
7120 SMOKE RANCH RD, LAS VEGAS, NV 89128-3157
(808) 359-1329
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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