Most Relevant Information
Provider Data
| NPI Number: | 1003549932 |
| Provider Name: | LESIA REAVES |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/07/2022 |
| Last Updated: | 07/07/2022 |
Provider Practice Location
4055 SPENCER ST STE 109
LAS VEGAS
NV
891195250
Practice Location Phone/Fax
| Phone: | 7024059565 |
| Fax: |
Provider Mailing Location
3540 UNIVERSITY CENTER DR APT 7
LAS VEGAS
NV
891699335
Provider Mailing Phone/Fax
| Phone: | 7252360132 |
| Fax: |