Individual
MISS JORDAN LANI HAMMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 GALLETTI WAY UNIT 8, SPARKS, NV 89431-5560
(775) 688-1633
Mailing address
5132 NORTHERN LIGHTS DR, RENO, NV 89506-5772
(775) 340-8410
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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