Individual
JULIA ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3531 E RUSSELL RD, LAS VEGAS, NV 89120-2245
(702) 547-9819
Mailing address
3531 E RUSSELL RD, LAS VEGAS, NV 89120-2245
(702) 547-9819
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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