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Individual

DIANA MARLENE TRIEB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7281 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1592
(702) 870-7050
(885) 645-1415
Mailing address
2700 N RAINBOW BLVD APT 2123, LAS VEGAS, NV 89108-4528
(702) 882-1747

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17457
NV

Other

Enumeration date
06/19/2018
Last updated
06/19/2018
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