Individual
MR. DAVID OMAR MANGUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6787 W TROPICANA AVE STE 120B, LAS VEGAS, NV 89103-4762
(702) 659-8827
(702) 852-0984
Mailing address
6787 W TROPICANA AVE STE 120B, LAS VEGAS, NV 89103-4762
(702) 659-8827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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