Individual
PATRICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 S JONES BLVD, LAS VEGAS, NV 89107
(702) 502-8021
Mailing address
1851 N GREEN VALLEY PKWY APT 1421, HENDERSON, NV 89074-5805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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