Individual
ALFREDO VALIENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2770 S MARYLAND PKWY # 108B-G, LAS VEGAS, NV 89109-1554
(702) 463-7779
Mailing address
308 W CINCINNATI AVE APT 8, LAS VEGAS, NV 89102-5063
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2101765879
—
NV
Enumeration date
02/09/2018
Last updated
10/07/2020
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