Individual
MANESA UNIQUE FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
2295 RENAISSANCE DR STE D, LAS VEGAS, NV 89119-6758
(702) 763-5379
Mailing address
4650 E CAREY AVE TRLR 173, LAS VEGAS, NV 89115-4422
(424) 366-0159
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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