Individual
MRS. OBELEM AMANDA MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5538 DUNCAN DR, LAS VEGAS, NV 89130-2812
(702) 645-2606
Mailing address
10138 PALAZZO MARCELLI CT, LAS VEGAS, NV 89147-8567
(706) 326-1479
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2786
NV
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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