Individual
ALEXIS NICOLE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2589 NORTH RANCHO DRIVE, LAS VEGAS, NV 89108
(702) 412-5175
Mailing address
2589 NORTH RANCHO DRIVE, LAS VEGAS, NV 89108
(702) 412-5175
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122458
—
NV
Enumeration date
11/01/2018
Last updated
11/01/2018
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