Individual
LISANDRA VEGA CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 S EASTERN AVE STE 200, LAS VEGAS, NV 89119-6139
(725) 206-5820
(725) 206-5824
Mailing address
5042 SHADOW BOXER CT, LAS VEGAS, NV 89142-1767
(702) 788-6219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/06/2020
Last updated
09/09/2021
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