Most Relevant Information
Provider Data
| NPI Number: | 1003369992 |
| Provider Name: | MONIQUE HOWARD |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: | 8309-PCS-3 |
Most Important Dates
| Enumeration Date: | 07/27/2016 |
| Last Updated: | 10/02/2017 |
Provider Practice Location
6671 LAS VEGAS BLVD S
SUITE 210
LAS VEGAS
NV
891193273
Practice Location Phone/Fax
| Phone: | 8887236218 |
| Fax: |
Provider Mailing Location
6671 LAS VEGAS BLVD S
SUITE 210
LAS VEGAS
NV
891193273
Provider Mailing Phone/Fax
| Phone: | 8887236218 |
| Fax: |