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Individual

MRS. ANNET DE LAS MERCEDES SANCHEZ SANTANA II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3090 LIBERTY CIR N, LAS VEGAS, NV 89121-1330
(702) 738-8136
Mailing address
3090 LIBERTY CIR N, LAS VEGAS, NV 89121-1330
(702) 738-8136

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2105614761
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7027388136
NV
05
SSN
NV
Enumeration date
04/25/2020
Last updated
04/25/2020
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