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Individual

MR. BRILLIANT MANUEL VENTAYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
480 GALLETTI WAY BLDG 8A, SPARKS, NV 89431-5564
(775) 688-1633
Mailing address
480 GALLETTI WAY BLDG 8N, SPARKS, NV 89431-5564

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Enumeration date
07/18/2017
Last updated
07/18/2017
About Stedi
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