Individual
MR. ADONIS RENE AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4955 S DURANGO DR STE 120, LAS VEGAS, NV 89113-1054
(702) 871-2273
Mailing address
4955 S DURANGO DR STE 120, LAS VEGAS, NV 89113-1054
(702) 871-2273
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8400
—
NV
Enumeration date
01/22/2022
Last updated
01/22/2022
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