Individual
GARRIDAN P SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4760 S PECOS RD STE 107, LAS VEGAS, NV 89121-5828
(808) 723-1907
Mailing address
4760 S PECOS RD STE 107, LAS VEGAS, NV 89121-5828
(808) 723-1907
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/28/2019
Last updated
10/17/2019
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