Individual
MRS. MONICA GRACE CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7425 W AZURE DR STE 140, LAS VEGAS, NV 89130-4425
(702) 515-4009
Mailing address
8160 LOMA DEL RAY ST, LAS VEGAS, NV 89131-4306
(702) 321-5611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-2378
NV
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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