Provider Demographics
NPI:1346075744
Name:XIQUES, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:XIQUES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 E SERENE AVE UNIT 415
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-3755
Mailing Address - Country:US
Mailing Address - Phone:323-872-4486
Mailing Address - Fax:
Practice Address - Street 1:50 E SERENE AVE UNIT 415
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-3755
Practice Address - Country:US
Practice Address - Phone:323-872-4486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach