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MERVIN KENNETH ALEXANDER Jr.

Individual Provider (NPI-1) Active

Specialist/Technologist

Provider Information

NPI Number
1740830462
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
6117 BROCCOLI ST, NORTH LAS VEGAS, NV, 890816677
Phone
(702) 685-3063

Specialties & Taxonomies

Specialist/Technologist Primary License: NV #NV20191399554

All Addresses

LOCATION

6117 BROCCOLI ST

NORTH LAS VEGAS, NV, 890816677

(702) 685-3063

MAILING

6117 BROCCOLI ST

NORTH LAS VEGAS, NV, 890816677

(702) 542-0760