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1912551581
MARTHA FONSECA
LAS VEGAS, NV
NPI
1912551581
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Former Name
MARTHA FONSECA ALVARADO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
MARTHA FONSECA
1928 E CHARLESTON BLVD
LAS VEGAS, NV 89104-1992
Phone number: 702-678-5089
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Mailing Address
MARTHA FONSECA
1928 E CHARLESTON BLVD
LAS VEGAS, NV 89104-1992
Phone number: 702-678-5089
Copy
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