Individual
JHANNELLE VICTORIA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11500 S EASTERN AVE, HENDERSON, NV 89052-5574
(760) 856-0607
Mailing address
11500 S EASTERN AVE, HENDERSON, NV 89052-5574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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