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Individual

CARLOS RAMON POLLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5626 MAMMOTH MOUNTAIN ST, NORTH LAS VEGAS, NV 89081-2419
(702) 324-2126
Mailing address
5626 MAMMOUTH MOUNTAIN STREET, NORTH LAS VEGAS, NV 89108
(702) 324-2126

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316279785
NV
Enumeration date
12/13/2010
Last updated
12/13/2010
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