Individual
GENOVA LUCATERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3650 N RANCHO DR STE 108, LAS VEGAS, NV 89130-3151
(702) 990-0326
Mailing address
820 RANCHO LN STE 40, LAS VEGAS, NV 89106-3806
(702) 366-0875
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/11/2019
Last updated
10/24/2023
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