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Organization
HEALTH ADVANCE LAS VEGAS INC
Active
Organization
HEALTH ADVANCE LAS VEGAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED THEODORE CARREON MANIAGO NP (NURSE PRACTITIONER)
(702) 513-5507
Entity
Organization
Contact information
Practice address
9520 GREEN VINEYARD AVE, LAS VEGAS, NV 89148-4578
(702) 513-5507
Mailing address
9520 GREEN VINEYARD AVE, LAS VEGAS, NV 89148-4578
(702) 513-5507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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