Individual
ALYSSA PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6725 S EASTERN AVE STE 1, LAS VEGAS, NV 89119-3949
(702) 331-6200
Mailing address
6725 S EASTERN AVE STE 1, LAS VEGAS, NV 89119-3949
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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