Individual
NIAKEYA MINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 E RUSSELL RD, LAS VEGAS, NV 89120-2426
(702) 848-1696
(702) 463-7283
Mailing address
2715 E RUSSELL RD, LAS VEGAS, NV 89120-2426
(702) 848-1696
(702) 463-7283
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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