Individual
MACKIDA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4400 S JONES BLVD, APT #1131, LAS VEGAS, NV 89103-3335
(702) 292-7330
Mailing address
4400 S JONES BLVD, APT. #1131, LAS VEGAS, NV 89103-3335
(702) 292-7330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LPN11149
NV
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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