Individual
MANUEL SISON ATIENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2268 TEDESCA DRIVE, HENDERSON, NV 89052
(702) 353-2178
Mailing address
2268 TEDESCA DRIVE, HENDERSON, NV 89052
(702) 353-2178
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN001057
NV
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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