Individual
MARTEZ MILEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
865 N EASTERN AVE, LAS VEGAS, NV 89101-2312
(702) 201-1692
Mailing address
865 N EASTERN AVE, LAS VEGAS, NV 89101-2312
(702) 201-1692
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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