Individual
ALEX AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1712 N JONES BLVD, LAS VEGAS, NV 89108-1622
(702) 240-3800
Mailing address
1712 N JONES BLVD, LAS VEGAS, NV 89108-1622
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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