Individual
MAHEALANI SUMIKO MANAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9089 S PECOS RD, HENDERSON, NV 89074-7183
(702) 867-5810
Mailing address
10786 PALLISER BAY DR, LAS VEGAS, NV 89141-4225
(808) 452-2399
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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