Individual
MONAE FRUTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 N MLK BLVD STE 217, NORTH LAS VEGAS, NV 89032-7676
(702) 202-2998
Mailing address
3925 N MLK BLVD STE 217, NORTH LAS VEGAS, NV 89032-7676
(702) 202-2998
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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