Most Relevant Information
Provider Data
| NPI Number: | 1003478165 |
| Provider Name: | MYRIAM MARGARITA REYES |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/28/2019 |
| Last Updated: | 06/28/2019 |
Provider Practice Location
820 RANCHO LN STE 40
LAS VEGAS
NV
891063806
Practice Location Phone/Fax
| Phone: | 7023660875 |
| Fax: |
Provider Mailing Location
820 RANCHO LN STE 40
LAS VEGAS
NV
891063806
Provider Mailing Phone/Fax
| Phone: | 7023660875 |
| Fax: |