Individual
MARLO GRANT ASIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2040 W CHARLESTON BLVD, SUITE #302, LAS VEGAS, NV 89102-2227
(702) 671-2273
(702) 385-9399
Mailing address
2040 W CHARLESTON BLVD, SUITE #302, LAS VEGAS, NV 89102-2227
(702) 671-2273
(702) 385-9399
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
11/21/2022
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