Organization
LAS VEGAS CITY SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY MARTINEZ (MEDICAID COORDINATOR)
(505) 454-5700
Entity
Organization
Contact information
Practice address
901 DOUGLAS AVE, LAS VEGAS, NM 87701-3928
(505) 454-5700
(505) 454-5702
Mailing address
901 DOUGLAS AVE, LAS VEGAS, NM 87701-3928
(505) 454-5700
(505) 454-5702
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
000R5896
NM
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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