Individual
MERVIN KENNETH ALEXANDER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6117 BROCCOLI ST, NORTH LAS VEGAS, NV 89081-6677
(702) 685-3063
Mailing address
6117 BROCCOLI ST, NORTH LAS VEGAS, NV 89081-6677
(702) 542-0760
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
NV20191399554
NV
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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