Individual
BORIS ORLANDO MELGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9529 GRAND GROVE CT, LAS VEGAS, NV 89149-0105
(702) 502-1566
Mailing address
9529 GRAND GROVE CT, LAS VEGAS, NV 89149-0105
(702) 502-1566
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A5768329
DRIVERS LICENSE
CA
Enumeration date
04/20/2021
Last updated
04/20/2021
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