Individual
EVELIO FUENTES ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5130 S PECOS RD, LAS VEGAS, NV 89120-1201
(702) 410-5090
(702) 205-1861
Mailing address
1911 VENALYNNE ST, LAS VEGAS, NV 89156-7132
(702) 521-9065
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NV
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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