Individual
LOREN NICOLE CARLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3909 S MARYLAND PKWY, 311, LAS VEGAS, NV 89119-7500
(888) 531-8385
Mailing address
5820 MICHAEL DEAN ST, NORTH LAS VEGAS, NV 89081-4422
(925) 549-5407
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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