Individual
ANTIONETTE MONDAY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6171 W. CHARLESTON BOULEVARD, BUILDING 10, LAS VEGAS, NV 89146
(702) 486-7865
Mailing address
6171 W CHARLESTON BLVD, BUILDING 10, LAS VEGAS, NV 89146-1126
(702) 486-7865
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225400000X
—
NV
Enumeration date
01/10/2012
Last updated
10/10/2016
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