Healthcare Provider Details

I. General information

NPI: 1184958118
Provider Name (Legal Business Name): MARIA ELENA FRANCO LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2009
Last Update Date: 09/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10555 HEDGE VIEW AVE
LAS VEGAS NV
89129-3318
US

IV. Provider business mailing address

10555 HEDGE VIEW AVE
LAS VEGAS NV
89129-3318
US

V. Phone/Fax

Practice location:
  • Phone: 702-629-0089
  • Fax: 702-405-9729
Mailing address:
  • Phone: 702-629-0089
  • Fax: 702-405-9729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberNVMT-3221
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: