Individual
LINO NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 RANCHO LN STE 25, LAS VEGAS, NV 89106-3806
(702) 822-2655
Mailing address
820 RANCHO LN STE 25, LAS VEGAS, NV 89106-3806
(702) 822-2655
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2103587881
DRIVERS LICENSE
NV
Enumeration date
11/10/2021
Last updated
11/10/2021
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