Individual
KENYA M PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 N 4TH ST, LAS VEGAS, NV 89101-1001
(702) 383-4044
Mailing address
10471 MEADOW VILLAGE ST, LAS VEGAS, NV 89183-7966
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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