Individual
EDITH MANKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6488 CITORI DR, SPARKS, NV 89436-7393
(775) 586-1859
Mailing address
PO BOX 2293, STATELINE, NV 89449-2293
(775) 586-1859
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A0205
NV
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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