Individual
IDDOLINA JAILENE VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6325 S JONES BLVD STE 400, LAS VEGAS, NV 89118-3332
(702) 618-9120
Mailing address
6255 W TROPICANA AVE APT 251, LAS VEGAS, NV 89103-4647
(702) 416-6589
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-415833
NV
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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