Individual
CAROL ARIANA MANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6930 S CIMARRON RD UNIT 220, LAS VEGAS, NV 89113-2135
(702) 822-7400
Mailing address
6930 S CIMARRON RD UNIT 220, LAS VEGAS, NV 89113-2135
(318) 655-2598
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
836349
NV
Other
Enumeration date
05/14/2021
Last updated
05/16/2021
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