Individual
LATISHIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6171 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1126
(702) 486-6151
Mailing address
3712 GRAMERCY AVE, NORTH LAS VEGAS, NV 89031-2036
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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