NPI 1780971978

Carol Annette Mack, MS

Practitioner Specialist N Las Vegas, NV

Practice location

Address: 725 Princess Ave, N Las Vegas, NV 89030-3822
Phone: (702) 443-4763

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1780971978
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2011
Record last updated: 7 Jul 2011

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.