Individual
GISSELLE TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7125 GRAND MONTECITO PKWY, LAS VEGAS, NV 89149-0260
(702) 396-0101
Mailing address
7125 GRAND MONTECITO PKWY, LAS VEGAS, NV 89149-0260
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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