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Individual

EDWIN PRIMO ALVAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4455 S JONES BLVD, SUITE, LAS VEGAS, NV 89103
(702) 485-4838
(702) 485-4837
Mailing address
4455 S JONES BLVD, SUITE, LAS VEGAS, NV 89103

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
11/24/2023
Last updated
11/24/2023
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