Individual
LARISSA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 KAHLE DR # D104, STATELINE, NV 89449-9807
(530) 208-3579
Mailing address
5725 S VALLEY VIEW BLVD, STE 5, #361584, LAS VEGAS, NV 89118-3122
(530) 208-3579
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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