Individual
JORGE ANTONIO MENDEZ TOCABENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2030 E FLAMINGO RD STE 140, LAS VEGAS, NV 89119-0831
(702) 620-5105
Mailing address
6501 VEGAS DR APT 1055, LAS VEGAS, NV 89108-7735
(702) 624-2915
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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