Individual
GREGORY NELSON HARDRICK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8430 W LAKE MEAD BLVD STE 114, LAS VEGAS, NV 89128-7672
(702) 576-9893
Mailing address
5370 E CRAIG RD APT 2285, LAS VEGAS, NV 89115-2529
(702) 468-7474
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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