Individual
GEMMA ERICA MANGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 E SUNSET RD STE 203, HENDERSON, NV 89014-2260
(702) 547-6971
Mailing address
1060 WIGWAM PKWY, HENDERSON, NV 89074-8162
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
05/02/2021
Last updated
05/02/2021
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