Individual
JERHONDA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4045 SPENCER ST, A45, LAS VEGAS, NV 89119-9304
(702) 637-9011
Mailing address
1785 MOLLY MEADOWS ST, LAS VEGAS, NV 89115-3911
(256) 323-5596
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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