Individual
BENCY MARTY MANGLICMOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10629 CLEAR MEADOWS DR, LAS VEGAS, NV 89134-7363
(702) 360-1735
(702) 360-1735
Mailing address
10629 CLEAR MEADOWS DR, LAS VEGAS, NV 89134-7363
(702) 360-1735
(702) 360-1735
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NV
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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