Monica Archuleta Manglona
Rehabilitation Practitioner in Las Vegas, NV. Individual provider (NPI-1).
NPI number1669916508
StatusActive
Last updated in NPPESDec 12, 2016
Details
- NPI
- 1669916508
- Entity type
- Individual (NPI-1)
- Name
- Monica Archuleta Manglona
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2016
- Last updated
- Dec 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
4525 S Sandhill Rd Ste 103Las Vegas, NV 89121-5955
Phone 702-741-1938
Mailing address
4450 Karen Ave Apt 114Las Vegas, NV 89121-7930
Phone 702-882-5248
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