Individual
ANDREA TRUJILLO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 E BONANZA SUITE 160-A, LAS VEGAS, NV 89101
(702) 771-9128
(702) 982-3069
Mailing address
3020 E BONANZA RD, LAS VEGAS, NV 89101-3702
(702) 771-9128
(702) 982-3069
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
20131063992
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46-1989499
—
NV
Enumeration date
02/27/2014
Last updated
02/27/2014
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