Individual
MIDALYS OJITO LEZCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7016 PINEBROOK CT, LAS VEGAS, NV 89147-4518
(702) 494-9375
Mailing address
7016 PINEBROOK CT, LAS VEGAS, NV 89147-4518
(702) 494-9375
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
12/06/2019
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