Individual
MR. DEMETRIC DION FANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 GRASS POND PL UNIT 101, HENDERSON, NV 89002-9472
(573) 724-3607
Mailing address
1155 GRASS POND PL UNIT 101, HENDERSON, NV 89002-9472
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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