Individual
JACQUECE NICOLE NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8433 SABLE BEAUTY ST, LAS VEGAS, NV 89131-2055
(702) 945-5776
Mailing address
8433 SABLE BEAUTY ST, LAS VEGAS, NV 89131-2055
(702) 945-5776
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-160600
NV
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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