Individual
LOGAN WALLACE MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
76 PARADISE PKWY, HENDERSON, NV 89074-6200
(702) 906-5511
Mailing address
76 PARADISE PKWY, HENDERSON, NV 89074-6200
(702) 906-5511
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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