Individual
BLANCA ESTHER GONZALEZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2785 E DESERT INN RD STE 180, LAS VEGAS, NV 89121-3692
(702) 602-5106
Mailing address
3606 ALGONQUIN DR, LAS VEGAS, NV 89169-3150
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
12/15/2022
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