Individual
MARY TINA MANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3930 HOWARD HUGHES PKWY STE 300, LAS VEGAS, NV 89169-0946
(702) 560-2192
Mailing address
7762 W SAHARA AVE, LAS VEGAS, NV 89117-2700
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
03/13/2024
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