Individual
MARIVIC BUDDUAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 PECOS-MCLEOD INT STE 103, LAS VEGAS, NV 89121
(702) 433-3038
Mailing address
3737 PECOS MCLEOD STE 103, LAS VEGAS, NV 89121-4263
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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