Individual
AVION T GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3940 N MARTIN LUTHER KING B106, N LAS VEGAS, NV 89032
(702) 476-5058
Mailing address
4144 INGLEWOOD POINT ST, NORTH LAS VEGAS, NV 89032-1147
(702) 762-1729
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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