Provider Demographics
NPI:1588424584
Name:ALEXANDER, RONA MARIE
Entity type:Individual
Prefix:
First Name:RONA
Middle Name:MARIE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10175 SPRING MOUNTAIN RD UNIT 1102
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-8470
Mailing Address - Country:US
Mailing Address - Phone:562-760-4936
Mailing Address - Fax:
Practice Address - Street 1:10175 SPRING MOUNTAIN RD UNIT 1102
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-8470
Practice Address - Country:US
Practice Address - Phone:562-760-4936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant