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Individual

MARY S BELPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6045 S FORT APACHE RD STE 110, LAS VEGAS, NV 89148-5565
(702) 948-5095
(702) 948-5115
Mailing address
5070 TARA AVE UNIT 104, LAS VEGAS, NV 89146-5464
(702) 494-8116

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN24102
NV
163WH0200X
Home Health Registered Nurse
Primary
RN24102
NV

Other

Enumeration date
03/06/2024
Last updated
03/06/2024
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