Individual
CARMEN LA ROSA DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BASIC SKILLS
Contact information
Practice address
7301 SAYBROOK POINT DR, LAS VEGAS, NV 89128-3206
(702) 444-8644
Mailing address
1513 S EASTERN AVE, LAS VEGAS, NV 89104-3916
(702) 703-5537
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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