Individual
ANGELA ANDERSON EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 S HIGHWAY 160, PAHRUMP, NV 89048-4711
(702) 822-4209
Mailing address
2606 S DURANGO DR, BLDG 6 NO 151, LAS VEGAS, NV 89117-2650
(720) 369-3743
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1605574282
NV
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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