Individual
MISS CHANEL WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E FLAMINGO RD, LAS VEGAS, NV 89119-5155
(702) 560-2192
Mailing address
5421 E HARMON AVE APT K11, LAS VEGAS, NV 89122-6030
(916) 877-0796
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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