Individual
PORSCHE ALEXIS JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6025 BLUEHILL AVE, LAS VEGAS, NV 89156-4757
(702) 416-0915
Mailing address
6025 BLUEHILL AVE, LAS VEGAS, NV 89156-4757
(702) 416-0915
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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