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Individual

MRS. BERNA AUXILLIADORA HUETE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
263 MCNERNEY DR, HENDERSON, NV 89012-3107
(702) 493-6557
(702) 982-6686
Mailing address
10624 S EASTERN AVE STE A, HENDERSON, NV 89052-2983
(702) 493-6557

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0818
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100507676
NV
Enumeration date
10/03/2006
Last updated
08/22/2011
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