Individual
ESPERANZA ILIANA COSSIO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
822 SEA PINES LN, LAS VEGAS, NV 89107-2068
(702) 764-9197
Mailing address
822 SEA PINES LN, LAS VEGAS, NV 89107-2068
(702) 764-9197
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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