Individual
ALEXIS WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1449 MUINOS ST, LAS VEGAS, NV 89117-7505
(832) 289-8812
Mailing address
1449 MUINOS ST, LAS VEGAS, NV 89117-7505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-2132
NV
Other
Enumeration date
03/20/2019
Last updated
08/08/2019
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