Individual
CHRISTINE Q WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
(310) 819-4523
Mailing address
546 CHESTNUT AVE APT 12, LONG BEACH, CA 90802-2224
(562) 333-1170
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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