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Individual

RONOLDY FAXAS ESCALONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6829 MIDPARK CIR, LAS VEGAS, NV 89145-5383
(702) 626-1641
Mailing address
6829 MIDPARK CIR, LAS VEGAS, NV 89145-5383
(702) 626-1641

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NV
3747P1801X
Personal Care Attendant

Other

Enumeration date
07/23/2019
Last updated
06/09/2025
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