Individual
LAZARO BORDELOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4375 TERRACE HILL RD, LAS VEGAS, NV 89103-6402
(702) 337-0584
Mailing address
4375 TERRACE HILL RD, LAS VEGAS, NV 89103-6402
(702) 337-0584
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/28/2020
Last updated
04/27/2022
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