Individual
MAXWELL GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
250 PILOT RD STE 250, LAS VEGAS, NV 89119-3514
(702) 982-3292
(702) 982-5286
Mailing address
250 PILOT RD STE 250, LAS VEGAS, NV 89119-3514
(702) 982-3292
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
855675
NV
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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