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NPI Code Detail

MEDICARE: ALEJANDRA AREVALO CHW

MEDICARE: ALEJANDRA AREVALO CHW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerCHW1-6419NV

General Provider Information

NPI Number : 1457282162
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRA AREVALO CHW
Provider Business Mailing Address
First Line : 4730 S FORT APACHE
Second Line : SUITE 180
City : LAS VEGAS
State : NV
Zip : 89147
Country : US
Telephone Number : 702-731-0909
Fax Number : 725-205-8304
Provider Business Practice Location Address
First Line : 3343 S EASTERN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169
Country : US
Telephone Number : 702-731-0909
Fax Number : 702-731-1020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ ALEJANDRA AREVALO CHW” Practice Location

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