NPI 1033045497

Alyssa-Reece Mangonon Ganotisi

Practitioner Specialist N Las Vegas, NV

Practice location

Address: 5413 Pride Mountain St, N Las Vegas, NV 89031-7850
Phone: (808) 517-7942

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1033045497
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2026
Record last updated: 22 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.