Individual
JANELLE AGOSTO-MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 S DECATUR BLVD, LAS VEGAS, NV 89102-8519
(702) 877-5199
(702) 867-7177
Mailing address
6850 N DURANGO DR STE 401, LAS VEGAS, NV 89149-4598
(702) 463-2981
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13320
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508068933
—
NV
01
—
BP2-0018490
INSTITUTIONAL PERMIT
—
01
—
CP678Z
ORIGINAL MEDICARE #
NV
01
—
P00915402
RAILROAD
NV
Enumeration date
06/05/2007
Last updated
02/26/2025
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