Individual
MILES DANIEL HAGNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 LAMOILLE HWY STE 103, ELKO, NV 89801-4397
(775) 777-1292
Mailing address
755 W MINOR ST APT E1, WINNEMUCCA, NV 89445-6007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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