Individual
ALEXIS JUANTORENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 E TWAIN AVE, LAS VEGAS, NV 89169-4115
(702) 437-9654
Mailing address
1115 PRINCESS KATY AVE, LAS VEGAS, NV 89119-1805
(702) 826-8334
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NV
Other
Enumeration date
12/24/2016
Last updated
12/24/2016
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