Individual
JOELVYS MARIO VALLADARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3216 W CHARLESTON BLVD STE C, LAS VEGAS, NV 89102-1983
(702) 498-8903
Mailing address
3216 W CHARLESTON BLVD STE C, LAS VEGAS, NV 89102-1983
(702) 498-8903
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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