Individual
CLEOTILDE ANGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2344 GRANNIS LN, LAS VEGAS, NV 89104-5086
(702) 431-3980
Mailing address
2344 GRANNIS LN, LAS VEGAS, NV 89104-5086
(702) 431-3980
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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