Individual
KEENAN MICHAEL GALNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 E MAIN ST, FERNLEY, NV 89408-7708
(775) 996-3890
Mailing address
240 BOOTH ST APT L, RENO, NV 89509-1311
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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