Individual
ALYSSA-REECE MANGONON GANOTISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5413 PRIDE MOUNTAIN ST, N LAS VEGAS, NV 89031-7850
(808) 517-7942
Mailing address
5413 PRIDE MOUNTAIN ST, N LAS VEGAS, NV 89031-7850
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NV
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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