Individual
MRS. IVONNE GUADALUPE VALENCIA BLANCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7B LUKE DR, LAS VEGAS, NV 89115-2608
(707) 264-9150
Mailing address
7B LUKE DR, LAS VEGAS, NV 89115-2608
(707) 264-9150
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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