Individual
MR. JOSE GREGORIO SUAREZ INFANTE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 E TROPICANA AVE STE 345, LAS VEGAS, NV 89119-6542
(702) 444-5757
Mailing address
1515 E TROPICANA AVE STE 345, LAS VEGAS, NV 89119-6542
(702) 444-5757
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/19/2024
Last updated
10/21/2024
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