Individual
CAMILLE MARRERO MANGUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2080 E FLAMINGO RD STE 111, LAS VEGAS, NV 89119-5175
(702) 737-8820
Mailing address
6402 RUSTICATED STONE AVE UNIT 102, HENDERSON, NV 89011-1669
(702) 628-6862
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1194
NV
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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