Individual
MARAL ALISSE BANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1524 PINTO LN FL 2, LAS VEGAS, NV 89106-4195
(702) 780-7587
Mailing address
1524 PINTO LN FL 2, LAS VEGAS, NV 89106-4195
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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