Most Relevant Information
Provider Data
| NPI Number: | 1003572694 |
| Provider Name: | MARIANO MUNUZ |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/09/2021 |
| Last Updated: | 11/09/2021 |
Provider Practice Location
2713 BRADY AVE
LAS VEGAS
NV
891011500
Practice Location Phone/Fax
| Phone: | 9735341769 |
| Fax: |
Provider Mailing Location
410 S RAMPART BLVD STE 390
LAS VEGAS
NV
891455749
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |