Individual
MARCIA HAGBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 E FLAMINGO RD, LAS VEGAS, NV 89119-5249
(725) 400-2515
Mailing address
1640 E FLAMINGO RD, LAS VEGAS, NV 89119-5249
(725) 400-2515
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN75384
NV
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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