Individual
MARINEL LEE BALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S CASINO CENTER BLVD, LAS VEGAS, NV 89101-6504
(702) 544-3367
Mailing address
520 S CASINO CENTER BLVD, LAS VEGAS, NV 89101-6504
(702) 544-3367
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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