Individual
JENNIFER ROSE LEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 HELAMAN AVE, LAS VEGAS, NV 89120-1517
(702) 801-6431
Mailing address
2657 WINDMILL PKWY # 365, HENDERSON, NV 89074-3384
(702) 801-6431
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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