Individual
MARK JANSENE MANIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
7777 S JONES BLVD APT 1053, LAS VEGAS, NV 89139-6152
(702) 278-3295
Mailing address
7777 S JONES BLVD APT 1053, LAS VEGAS, NV 89139-6152
(702) 278-3295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
817084
NV
Other
Enumeration date
08/25/2023
Last updated
10/05/2023
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