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Individual

MISS MONIQUE LOMELI I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1692 DUARTE DR, HENDERSON, NV 89014-3567
(702) 613-2656
Mailing address
1692 DUARTE DR, HENDERSON, NV 89014-3567
(702) 613-2656

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145600645
LEGACY'S NPI
NV
Enumeration date
01/25/2016
Last updated
01/25/2016
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