Individual
MARQUI MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6661 SILVERSTREAM AVE APT 2077, LAS VEGAS, NV 89107-1173
(513) 293-9470
Mailing address
6661 SILVERSTREAM AVE APT 2077, LAS VEGAS, NV 89107-1173
(513) 293-9470
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
374700000X
Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1406116561
DRIVER LICENSE
NV
Enumeration date
09/26/2018
Last updated
09/26/2018
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