Individual
ISADORIS OTANO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 E FLAMINGO RD STE 114, LAS VEGAS, NV 89119-5123
(702) 912-9886
Mailing address
2121 E FLAMINGO RD STE 114, LAS VEGAS, NV 89119-5123
(702) 912-9886
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/20/2017
Last updated
03/08/2024
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