Individual
LAURA JEAN SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 E RUSSELL RD # 217, LAS VEGAS, NV 89120-2201
(702) 917-2705
Mailing address
3440 E RUSSELL RD # 217, LAS VEGAS, NV 89120-2201
(702) 917-2705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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