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Individual

DIANA ROSA GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2800 S EASTERN AVE APT 101, LAS VEGAS, NV 89169-1826
(702) 557-1291
Mailing address
2800 S EASTERN AVE APT 101, LAS VEGAS, NV 89169-1826
(702) 557-1291

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NV
3747P1801X
Personal Care Attendant

Other

Enumeration date
07/17/2023
Last updated
08/24/2023
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