Individual
MIGUEL GOMEZ LUCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3435 W CRAIG RD, NORTH LAS VEGAS, NV 89032-5115
(702) 207-4458
Mailing address
981 WHITNEY RANCH DR APT 615, HENDERSON, NV 89014-2569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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