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Organization
NEVADA WOUND CARE CLINIC LLC
Active
Organization
NEVADA WOUND CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY ALEJANDRA AVILES LEON (ADMINISTRATOR)
(323) 714-6108
Entity
Organization
Contact information
Practice address
2350 S JONES BLVD STE E5, LAS VEGAS, NV 89146-3103
(702) 906-7737
Mailing address
2350 S JONES BLVD STE E5, LAS VEGAS, NV 89146-3103
(323) 714-6108
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
10/05/2026
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