Individual
ALAN ADL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2477 RANGE CREEK ST, HENDERSON, NV 89044-1602
(714) 915-1337
Mailing address
2477 RANGE CREEK ST, HENDERSON, NV 89044-1602
(714) 915-1337
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/16/2018
Last updated
09/27/2018
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