Mantilla, Ana Miriam

Mantilla, Ana Miriam is an sole proprietor health care provider with primary practice located at 2851 N Tenaya Way , Las Vegas NV 89128-0435. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Mantilla, Ana Miriam can be contacted via phone (702) 658-0204.

Contact Information

Primary practice address
2851 N Tenaya Way Las Vegas NV 89128-0435
Fax: (702) 658-7177
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 2006305-062-121 Nevada

Profile Details

NPI number 1669195954
LBN Legal business name Mantilla, Ana Miriam
Credentials ND
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2022
Last updated Sep 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669195954 NPPES
Nevada MEDICAID 2006305-062-121

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