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Individual

KENNY JOSE GUTIERREZ SEMECO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3350 HAUCK ST APT 2018, LAS VEGAS, NV 89146-8034
(407) 675-9319
Mailing address
3350 HAUCK ST APT 2018, LAS VEGAS, NV 89146-8034
(407) 675-9319

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/08/2022
Last updated
12/02/2025
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