Individual
GRACE ELIZABETH BOTTOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 W PLUMB LN, RENO, NV 89509-3766
(702) 319-1555
Mailing address
1550 EVANS AVE APT 1513, RENO, NV 89512-2279
(702) 755-3537
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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