Individual
AMED BROOKS GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4550 W OAKEY BLVD STE 111-O, LAS VEGAS, NV 89102-1581
(702) 861-0238
Mailing address
5320 PADUA WAY, LAS VEGAS, NV 89107-0404
(702) 689-1629
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300912382
—
NV
Enumeration date
04/24/2019
Last updated
07/24/2020
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