Individual
ALEX TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4221 MCLEOD DR, LAS VEGAS, NV 89121-5215
(702) 474-6450
Mailing address
4221 MCLEOD DR, LAS VEGAS, NV 89121-5215
(702) 474-6450
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
PEER SPECIALIST
NV
Enumeration date
10/28/2019
Last updated
02/02/2022
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