Most Relevant Information
Provider Data
| NPI Number: | 1003458290 |
| Provider Name: | ALEXXA WIRTH |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/09/2019 |
| Last Updated: | 03/18/2024 |
Provider Practice Location
1701 W CHARLESTON BLVD STE 440
LAS VEGAS
NV
891022325
Practice Location Phone/Fax
| Phone: | 6024390000 |
| Fax: |
Provider Mailing Location
1701 W CHARLESTON BLVD STE 440
LAS VEGAS
NV
891022325
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |