Individual
JASMINE BREANA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
(702) 560-2217
Mailing address
721 W EL SEGUNDO BLVD APT 8, GARDENA, CA 90247-1746
(323) 580-4812
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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