Individual
MARIE ANTONETTE MACAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 W FLAMINGO RD STE C5, LAS VEGAS, NV 89103-0137
(702) 877-2520
Mailing address
5550 W FLAMINGO RD STE C5, LAS VEGAS, NV 89103-0137
(702) 877-2520
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-250206
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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