Individual
ROBERT PANGANIBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2887 S MARYLAND PKWY, LAS VEGAS, NV 89109-1511
(702) 747-7075
Mailing address
4010 EVESHAM CT, LAS VEGAS, NV 89121-4860
(183) 144-4226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07791-I
NV
Other
Enumeration date
04/20/2023
Last updated
08/08/2024
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