Individual
KASSANDRA GALILEA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3746 IDLEWOOD AVE, LAS VEGAS, NV 89115-8143
(702) 355-7325
Mailing address
3746 IDLEWOOD AVE, LAS VEGAS, NV 89115-8143
(702) 355-7325
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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