Dominic Manzella
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1164075420
StatusActive
Last updated in NPPESJul 16, 2019
Details
- NPI
- 1164075420
- Entity type
- Individual (NPI-1)
- Name
- Dominic Manzella
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2019
- Last updated
- Jul 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
8871 W Flamingo Rd Ste 202Las Vegas, NV 89147-8729
Phone 702-852-1477
Mailing address
8871 W Flamingo Rd Ste 202Las Vegas, NV 89147-8729
Phone 702-852-1477
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