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Individual

MISS HAZEL ANN S MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3235 S EASTERN AVE, LAS VEGAS, NV 89169-3310
(702) 490-9009
(866) 737-6147
Mailing address
3235 S EASTERN AVE, LAS VEGAS, NV 89169-3310
(702) 490-9009
(866) 737-6147

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/04/2019
Last updated
06/04/2019
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