Individual
ALAN LESLIE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2860 E FLAMINGO RD STE C, LAS VEGAS, NV 89121-5270
(702) 562-3355
Mailing address
5950 S PECOS RD APT 2058, LAS VEGAS, NV 89120-5440
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
NV
372600000X
Adult Companion
—
NV
3747A0650X
Attendant Care Provider
—
NV
3747P1801X
Personal Care Attendant
Primary
—
NV
376J00000X
Homemaker
—
NV
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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