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
Phone: (702) 658-0204
Fax: (702) 658-7177
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669195954 | NPPES |
Nevada | MEDICAID | 2006305-062-121 |
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