Individual
MAYRA ORNELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3145 MANTI PEAK AVE, N LAS VEGAS, NV 89081-6550
(702) 750-8279
(702) 632-0806
Mailing address
3145 MANTI PEAK AVE, N LAS VEGAS, NV 89081-6550
(702) 750-8279
(702) 632-0806
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
0001688711
NV
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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