Individual
AEDOM AZANAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5518 VALLEY MILL ST, LAS VEGAS, NV 89148-7616
(702) 526-8801
Mailing address
5518 VALLEY MILL ST, LAS VEGAS, NV 89148-7616
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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