Individual
DR. JACOB MCKAY MANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
501 S RANCHO DR STE G46, LAS VEGAS, NV 89106-4835
(702) 912-4844
(702) 912-4846
Mailing address
705 GULF PEARL DR, HENDERSON, NV 89002-0968
(702) 630-4595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18940
NV
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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