Individual provider · Type 1 NPI

Alyssa-Reece Mangonon Ganotisi

Specialist · North Las Vegas, NV

NPI number 1033045497 Active

Practice location

5413 Pride Mountain St
North Las Vegas, NV 89031-7850

Call (808) 517-7942 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1033045497

Alyssa-Reece Mangonon Ganotisi's National Provider Identifier is 1033045497, issued on Jun 22, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in North Las Vegas, NV. The record was last updated on Jun 22, 2026.