Individual
MARIAH ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5770 CRESCENT LANDING ST, LAS VEGAS, NV 89113-0223
(702) 378-4685
Mailing address
5770 CRESCENT LANDING ST, LAS VEGAS, NV 89113-0223
(702) 378-4685
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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