Individual
GABRIELA FERNANDA POGO FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3930 HOWARD HUGHES PKWY STE 300, LAS VEGAS, NV 89169-0946
(702) 560-2192
Mailing address
3450 N HUALAPAI WAY UNIT 1143, LAS VEGAS, NV 89129-8069
(775) 453-5866
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-354230
NV
Other
Enumeration date
07/16/2024
Last updated
07/17/2024
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