Individual
ALVIA BENETTE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5135 CAMINO AL NORTE STE 150, NORTH LAS VEGAS, NV 89031-2388
(702) 853-6714
(702) 853-6715
Mailing address
1506 DOROTHY DR, BOULDER CITY, NV 89005-3608
(702) 505-1352
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/23/2018
Last updated
03/17/2018
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