Individual
CHARLES FRANK MANN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AEMT
Contact information
Practice address
200 SOUTH A STREET, HAWTHORNE, NV 89415
(775) 945-2461
Mailing address
PO BOX 1510, HAWTHORNE, NV 89415-1510
(775) 945-2461
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
A00086
NV
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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