MRS. Carol Annette Mack, M.S.

NPI #1780971978 in N Las Vegas, Nevada

Provider Information

NPI Number
1780971978
Entity Type
Individual
Name
MRS. Carol Annette Mack, M.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
M.S.
Enumeration Date
Jul 7, 2011
Last Updated
Jul 7, 2011

Practice Location

Address
725 PRINCESS AVE
State
Nevada
ZIP Code
89030-3822
Phone
(702) 443-4763

Specialties & Taxonomy Codes

Specialty
Specialist

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