Individual
MR. LATRON P HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4375 LAS VEGAS BLVD N, LAS VEGAS, NV 89115-0587
(702) 601-4647
Mailing address
9947 PIPESTONE ST, LAS VEGAS, NV 89141-8667
(702) 601-4647
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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