Individual
KELSEY SUZANNE MANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
(309) 883-9748
Mailing address
5853 ENCHANTED PALMS AVE, LAS VEGAS, NV 89139-5612
(309) 883-9748
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
04/28/2022
Last updated
06/19/2024
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