Individual
NWAKAEGO EVOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 STARBOARD DR, LAS VEGAS, NV 89117-3431
(470) 641-4647
Mailing address
5940 S RAINBOW BLVD, LAS VEGAS, NV 89118-2506
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
09/01/2022
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