Individual
KELLY GIARDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 S MAINE ST, FALLON, NV 89406-3343
(775) 426-9871
Mailing address
631 LONG VALLEY RD, GARDNERVILLE, NV 89460-8226
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-343664
NV
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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