Individual
ANGELA PRISCILLA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 S JONES BLVD, LAS VEGAS, NV 89107-2658
(702) 502-8021
Mailing address
4233 SUNRISE AVE, LAS VEGAS, NV 89110-4527
(702) 886-1323
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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