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Organization
SPECTRUM NEVADA HEALTHCARE SERVICES LLC
Active
Organization
SPECTRUM NEVADA HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ALBERTO BAEZA RIVERO (OWNER)
(725) 254-8037
Entity
Organization
Contact information
Practice address
1767 QUIVER POINT AVE, HENDERSON, NV 89012-3482
(725) 254-8037
Mailing address
1767 QUIVER POINT AVE, HENDERSON, NV 89012-3482
(725) 254-8037
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
09/22/2023
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