Individual
MARVI MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1192 VIA ANGELICA, HENDERSON, NV 89052-1509
(702) 724-5079
Mailing address
1192 VIA ANGELICA, HENDERSON, NV 89052-1509
(702) 724-5079
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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