Individual
MARILYN LLANES GARRIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 RANCHO LN STE 40, LAS VEGAS, NV 89106-3806
(702) 366-0875
Mailing address
820 RANCHO LN STE 40, LAS VEGAS, NV 89106-3806
(702) 366-0875
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2104024620
DRIVER LICENSE
NV
Enumeration date
02/23/2018
Last updated
05/13/2021
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