Organization
MANA THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN MEJIA (OWNER)
(702) 884-1696
Entity
Organization
Contact information
Practice address
1728 HOWARD AVE, LAS VEGAS, NV 89104-3631
(702) 884-3414
Mailing address
1728 HOWARD AVE, LAS VEGAS, NV 89104-3631
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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