Individual
OCTAVIA MAUFAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 N NELLIS BLVD STE A3-87, LAS VEGAS, NV 89110-5364
(702) 704-9747
Mailing address
420 N NELLIS BLVD STE A3-87, LAS VEGAS, NV 89110-5364
(702) 704-9747
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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