Individual
ANGELIE AZUNCION MANALOTO SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1294 S JONES BLVD, LAS VEGAS, NV 89146-1284
(240) 390-5676
Mailing address
1294 S JONES BLVD, LAS VEGAS, NV 89146-1284
(702) 877-1887
(702) 877-4536
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25503
NV
207RN0300X
Nephrology Physician
75115-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356838601
—
WI
05
—
250030795
—
NV
Enumeration date
04/21/2018
Last updated
08/13/2025
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