Individual
LAISHA AVENDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 E BONANZA RD, LAS VEGAS, NV 89110-0055
(702) 608-1488
Mailing address
2276 CROWLEY WAY, LAS VEGAS, NV 89142-2690
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12713-M
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
07/10/2025
Last updated
01/09/2026
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