Individual
ISAIAH CEDRIC MABASA CARLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2950 E FLAMINGO RD, LAS VEGAS, NV 89121-5209
(725) 251-3854
Mailing address
6307 ORIONS BELT PEAK ST, NORTH LAS VEGAS, NV 89031-3741
(702) 556-5958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
879544
NV
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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