Individual
MRS. EUGENIA STALLWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8275 S EASTERN AVE, LAS VEGAS, NV 89123-2591
(702) 919-1032
Mailing address
8275 S EASTERN AVE, LAS VEGAS, NV 89123-2591
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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