Organization
HEALTH ADVANCE LAS VEGAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED THEODORE CARREON MANIAGO NP (NURSE PRACTITIONER)
(702) 513-5507
Entity
Organization
Contact information
Practice address
9520 GREEN VINEYARD AVE, LAS VEGAS, NV 89148-4578
(702) 513-5507
Mailing address
9520 GREEN VINEYARD AVE, LAS VEGAS, NV 89148-4578
(702) 513-5507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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