Individual
RAFAEL OTERO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5993 AUTUMN HARVEST AVE, LAS VEGAS, NV 89142-0803
(602) 705-9717
Mailing address
5993 AUTUMN HARVEST AVE, LAS VEGAS, NV 89142-0803
(602) 705-9717
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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