Individual
MYLENE ASIA VILLAMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9832 HEARTHFIRE ST, LAS VEGAS, NV 89178-3837
(705) 592-2605
Mailing address
9832 HEARTHFIRE ST, LAS VEGAS, NV 89178-3837
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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