ALISHA PROVOST

NELLIS AFB, NV
NPI1073142816
Former NameALISHA COPE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2022032506)
Enumeration Date2020-04-03
Last Update Date2024-07-16
Business Address
ALISHA PROVOST DO
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2273
Mailing Address
ALISHA PROVOST DO
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2273
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