Most Relevant Information
Provider Data
| NPI Number: | 1003245424 |
| Provider Name: | GINA MANGIN |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/06/2013 |
| Last Updated: | 11/06/2013 |
Provider Practice Location
6889 S EASTERN AVE
LAS VEGAS
NV
891194687
Practice Location Phone/Fax
| Phone: | 7024341200 |
| Fax: |
Provider Mailing Location
6889 S EASTERN AVE
LAS VEGAS
NV
891194687
Provider Mailing Phone/Fax
| Phone: | 7024341200 |
| Fax: |