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Individual

CRUCITA MARIA MOREL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3950 MOUNTAIN VISTA ST, 123, LAS VEGAS, NV 89121-4726
(702) 418-8187
Mailing address
3950 MOUNTAIN VISTA ST., 123, LAS VEGAS, NV 89121
(702) 418-8187

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
P55-01745
NV
3747P1801X
Personal Care Attendant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639470172
NV
Enumeration date
10/02/2014
Last updated
08/07/2019
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