Organization
GLORIA MANDEL ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA MANDEL APRN (SOLE MEMBER)
(702) 630-9711
Entity
Organization
Contact information
Practice address
191 MESCALERO TRL, HENDERSON, NV 89074-1037
(702) 630-9711
Mailing address
191 MESCALERO TRL, HENDERSON, NV 89074-1037
(702) 630-9711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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