Individual
CARLOS A RAVELO LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 E FLAMINGO RD STE 18, LAS VEGAS, NV 89119-5244
(702) 478-9971
Mailing address
1601 E FLAMINGO RD STE 18, LAS VEGAS, NV 89119-5244
(702) 478-9971
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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