Individual
REINIER MOLA GANDOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4820 EL ESCORIAL DR, LAS VEGAS, NV 89121-6805
(702) 510-9229
Mailing address
4820 EL ESCORIAL DR, LAS VEGAS, NV 89121-6805
(702) 510-9229
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/23/2021
Last updated
12/14/2022
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