Individual
RESTINA ANGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6458 MELVILLE GROVE CT, LAS VEGAS, NV 89122-3642
(702) 581-3487
Mailing address
6458 MELVILLE GROVE CT, LAS VEGAS, NV 89122-3642
(702) 581-3487
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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