Individual
MARTELL MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
704 KASPER AVE, LAS VEGAS, NV 89106-2639
(725) 500-7956
Mailing address
704 KASPER AVE, LAS VEGAS, NV 89106-2639
(725) 500-7956
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/30/2013
Last updated
04/20/2017
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