Individual
MR. JERSON ADONIS VALDEZ SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5375 RENO CORPORATE DR, RENO, NV 89511-2381
(775) 376-9426
Mailing address
5375 RENO CORPORATE DR, RENO, NV 89511-2381
(775) 376-9426
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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