Individual
MARY LOUISE ALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 N BUFFALO DR UNIT 213, LAS VEGAS, NV 89128-0381
(702) 942-1774
Mailing address
911 N BUFFALO DR UNIT 213, LAS VEGAS, NV 89128-0381
(702) 942-1774
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145600645
—
NV
Enumeration date
07/14/2017
Last updated
07/14/2017
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