Individual
JIMMAR WYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2255 E SUNSET RD APT 2010, LAS VEGAS, NV 89119-4953
(310) 706-1308
Mailing address
2255 E SUNSET RD APT 2010, LAS VEGAS, NV 89119-4953
(310) 706-1308
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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