Individual
CARMEN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 PAWNEE DR, LAS VEGAS, NV 89169-3129
(702) 695-1149
Mailing address
1408 PAWNEE DR., LAS VEGAS, NV 89169
(702) 695-1149
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
NV
Other
Enumeration date
03/14/2017
Last updated
03/27/2017
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