Individual
ALEN BOUCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1351 CHATSWORTH CT, LAS VEGAS, NV 89142-0112
(702) 428-0122
Mailing address
1351 CHATSWORTH CT, LAS VEGAS, NV 89142-0112
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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