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NPI Code Detail

MEDICARE: ELI MARTINEZ

MEDICARE:   ELI  MARTINEZ
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1366705725
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELI MARTINEZ
Provider Business Mailing Address
First Line : 3428 STEPPE ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-7944
Country : US
Telephone Number : 702-428-7338
Fax Number : 702-428-7338
Provider Business Practice Location Address
First Line : 3428 STEPPE ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-7944
Country : US
Telephone Number : 702-428-7338
Fax Number : 702-428-7338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2012
Last Update Date : 06/20/2012

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Directions to “ ELI MARTINEZ ” Practice Location

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