Individual
MIRNA CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3216 W CHARLESTON BLVD STE D, LAS VEGAS, NV 89102-1983
(702) 780-4854
Mailing address
6945 MOUNTAIN MEADOW LN, LAS VEGAS, NV 89147-4813
(702) 576-4297
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/30/2021
Last updated
06/22/2022
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