Individual
ALEXIS MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7320 SMOKE RANCH RD STE H, LAS VEGAS, NV 89128-0259
(702) 380-0600
Mailing address
522 LANDMARK LN, HENDERSON, NV 89002-9635
(702) 301-1352
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
NV
372600000X
Adult Companion
—
NV
3747A0650X
Attendant Care Provider
—
NV
3747P1801X
Personal Care Attendant
Primary
—
NV
376J00000X
Homemaker
—
NV
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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