Individual
MONA LISA MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5055 W HACIENDA AVE, 1135, LAS VEGAS, NV 89118-0323
(702) 442-0483
Mailing address
5055 W HACIENDA AVE, 1135, LAS VEGAS, NV 89118-0323
(702) 442-0483
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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