Individual
MARINA GONCHAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 RANCHO LANE, #25, LAS VEGAS, NV 89106
(702) 822-2655
Mailing address
4328 CORAN LANE, LAS VEGAS, NV 89108
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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