Individual
LAZARO EYDHEER FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7351 W CHARLESTON BLVD STE 120, LAS VEGAS, NV 89117-1572
(702) 470-0620
Mailing address
1012 GRISCOM CT, LAS VEGAS, NV 89145-6212
(702) 831-1146
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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