Individual
MARTINA WAMPLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3606 N RANCHO DR STE 142, LAS VEGAS, NV 89130-3130
(702) 778-5300
Mailing address
8121 RETRIEVER AVE, LAS VEGAS, NV 89147-3752
(503) 481-0292
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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