Individual
ALEXANDER DEQUITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
979 MEADOW BRIDGE AVE, LAS VEGAS, NV 89123-3649
(702) 955-7648
Mailing address
2667 W RICHMAR AVE, LAS VEGAS, NV 89123-3310
(702) 955-7648
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NV
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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