Individual
TINA LANGERAAP MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1312 E TONOPAH AVE, NORTH LAS VEGAS, NV 89030-7111
(702) 399-4791
(702) 399-1547
Mailing address
1802 N CARSON ST, SUITE 100, CARSON CITY, NV 89701-1265
(775) 888-6610
(775) 887-7046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA851
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA851
NV PA LICENSE
NV
Enumeration date
10/02/2006
Last updated
12/20/2009
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