Individual
CALVIN LAMONT AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
5832 PETRIFIED TREE LN, N LAS VEGAS, NV 89081-6864
(702) 620-9660
Mailing address
5832 PETRIFIED TREE LN, N LAS VEGAS, NV 89081-6864
(702) 620-9660
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
02/12/2019
Last updated
02/19/2019
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