Individual
MARY ANGELA MENDOZA TERENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1931
(702) 831-6670
Mailing address
3101 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1931
(702) 831-6670
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
Primary
3324
NV
Other
Enumeration date
07/16/2019
Last updated
09/01/2023
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