Individual
ELIZABETH KAMANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3673 IAN THOMAS ST, APT 101, LAS VEGAS, NV 89129-8825
(702) 771-6638
Mailing address
3673 IAN THOMAS ST, APT 101, LAS VEGAS, NV 89129-8825
(702) 771-6638
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
455627172
—
NV
Enumeration date
07/05/2012
Last updated
07/10/2012
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