Organization
MARIA C. MANALO M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CHRISTINA MANALO M.D. (OWNER)
(702) 658-9874
Entity
Organization
Contact information
Practice address
8775 WEST DEER SPRINGS WAY, LAS VEGAS, NV 89149-4409
(702) 658-9874
(702) 658-9874
Mailing address
2711 N TENAYA WAY, SUITE 104, LAS VEGAS, NV 89128
(702) 658-9874
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11659
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11659
MEDICAL LICENSE
NV
01
—
193620
AM BOARD OF INTERNAL MEDI
NV
Enumeration date
03/17/2008
Last updated
03/07/2023
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