Individual
LYLE MYTZLE A. MASANGKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRT, RRT
Contact information
Practice address
3611 WINTER WREN ST, LAS VEGAS, NV 89122-3540
(702) 461-1079
Mailing address
3611 WINTER WREN ST, LAS VEGAS, NV 89122-3540
(702) 461-1079
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
121497
NV
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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