Individual
DEBORAH BENNER-MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 S NELLIS BLVD UNIT 2068, LAS VEGAS, NV 89104-5851
(702) 985-7564
Mailing address
1405 S NELLIS BLVD UNIT 2068, LAS VEGAS, NV 89104-5851
(702) 985-7564
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NV
252Y00000X
Early Intervention Provider Agency
Primary
—
NV
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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