Individual
GENESIS GRACE PASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3930 HOWARD HUGHES PKWY STE 300, LAS VEGAS, NV 89169-0946
(702) 560-2192
Mailing address
2240 BLEDSOE LN, LAS VEGAS, NV 89156-5628
(725) 377-3443
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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