Organization
ARDHA MOBILE MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELITA MARTINEZ (PRESIDENT)
(702) 324-9373
Entity
Organization
Contact information
Practice address
2619 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2121
(702) 324-9373
Mailing address
5418 CULBERTSON ST, LAS VEGAS, NV 89122-8637
(702) 324-9373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
700891
NV
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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