Individual
MITRIECE SUMBRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6530 ANNIE OAKLEY DR APT 2925, HENDERSON, NV 89014-2178
(702) 419-1262
Mailing address
6530 ANNIE OAKLEY DR APT 2925, HENDERSON, NV 89014-2178
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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