JEFFERSON DETRICK

LAS VEGAS, NV
NPI1548619505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2016-06-09
Last Update Date2016-06-09
Business Address
-- JEFFERSON DETRICK
5021 ALTA DR
LAS VEGAS, NV 89107-3937
Phone number: 702-816-2595
Mailing Address
-- JEFFERSON DETRICK
5021 ALTA DR
LAS VEGAS, NV 89107-3937
Phone number: 702-816-2595
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