Individual
LIUDMILA TERESA MEDINA MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 E FLAMINGO RD STE 205, LAS VEGAS, NV 89119-5192
(702) 620-5105
(877) 220-2664
Mailing address
5246 SANDSTONE DR, LAS VEGAS, NV 89142-1132
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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