Individual
GRACE MANAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7375 PRAIRIE FALCON RD STE 120, LAS VEGAS, NV 89128-0810
(702) 869-4401
(702) 869-9904
Mailing address
7375 PRAIRIE FALCON RD STE 120, LAS VEGAS, NV 89128-0810
(702) 869-4401
(702) 869-9904
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
835448
NV
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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