Individual
MR. MELVIN KARIN VALENCIA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 S DECATUR BLVD APT 1089, LAS VEGAS, NV 89103-5878
(702) 428-8605
Mailing address
4201 S DECATUR BLVD APT 1089, LAS VEGAS, NV 89103-5878
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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