Individual
ALEXANDER MADRIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5010 E CACTUS AVE, APT 2117, LAS VEGAS, NV 89183
(702) 832-8710
Mailing address
5010 E CACTUS AVE, APT 2117, LAS VEGAS, NV 89183
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102716647
—
NV
Enumeration date
02/01/2023
Last updated
02/01/2023
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