Individual
MARIA ANTONIA DORTA MANSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9222 SNOW FLOWER AVE, LAS VEGAS, NV 89147-6843
(786) 351-7883
Mailing address
9222 SNOW FLOWER AVE, LAS VEGAS, NV 89147-6843
(786) 351-7883
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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