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NPI Code Detail

MEDICARE: MARIAN SOLO

MEDICARE: MARIAN SOLO
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1750673273
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAN SOLO
Provider Business Mailing Address
First Line : 4777 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-4742
Country : US
Telephone Number : 702-445-6141
Fax Number :
Provider Business Practice Location Address
First Line : 4777 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-4742
Country : US
Telephone Number : 702-445-6141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2011
Last Update Date : 05/03/2011

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Directions to “ MARIAN SOLO ” Practice Location

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