Individual
EMMANUEL ALEXANDER NAVARRETE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10294 KADUMBA ST, LAS VEGAS, NV 89178-8012
(702) 587-8790
Mailing address
10294 KADUMBA ST, LAS VEGAS, NV 89178-8012
(702) 587-8790
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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