Individual
ELIZABETH D ROCHE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N RAINBOW BLVD STE 170, LAS VEGAS, NV 89107-1189
(702) 633-6072
(702) 442-8237
Mailing address
800 N RAINBOW BLVD STE 170, LAS VEGAS, NV 89107-1189
(702) 633-6072
(702) 442-8237
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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