Individual
ANGELA MENDIVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4911 RICHBOROUGH CT, NORTH LAS VEGAS, NV 89031-0365
(702) 883-4999
Mailing address
4911 RICHBOROUGH CT, NORTH LAS VEGAS, NV 89031-0365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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