Individual
MIN MAZELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7313 SUMMER GROVE AVE, LAS VEGAS, NV 89117-3825
(702) 439-1111
Mailing address
7313 SUMMER GROVE AVE, LAS VEGAS, NV 89117-3825
(702) 439-1111
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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