Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON MANIAGO RN (REGISTERED NURSE)
(702) 677-1077
Entity
Organization
Contact information
Practice address
5555 BAKER BOWL CT, LAS VEGAS, NV 89148-4630
(702) 653-3633
Mailing address
5555 BAKER BOWL CT, LAS VEGAS, NV 89148-4630
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
RN53305
NV
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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