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NPI Code Detail

MEDICARE: RALECIA CHRISTINA MARKS MA

MEDICARE: RALECIA CHRISTINA MARKS MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1053704460
Entity Type Code : Individual
Provider Name (Legal Business Name) : RALECIA CHRISTINA MARKS MA
Provider Business Mailing Address
First Line : 6363 S PECOS RD STE 206
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-6293
Country : US
Telephone Number : 702-850-2691
Fax Number :
Provider Business Practice Location Address
First Line : 6363 S PECOS RD STE 206
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-6293
Country : US
Telephone Number : 702-850-2691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2015
Last Update Date : 06/01/2022

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Directions to “ RALECIA CHRISTINA MARKS MA” Practice Location

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