Most Relevant Information
Provider Data
| NPI Number: | 1003578352 |
| Provider Name: | GERTRUDE ISREL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/13/2021 |
| Last Updated: | 10/20/2021 |
Provider Practice Location
5940 S RAINBOW BLVD
LAS VEGAS
NV
891182506
Practice Location Phone/Fax
| Phone: | 8885318385 |
| Fax: |
Provider Mailing Location
5940 S RAINBOW BLVD
LAS VEGAS
NV
891182506
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |