Individual
KIM MARGARET DEROCHER LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
4340 PARKDALE AVE, LAS VEGAS, NV 89121-2647
(702) 499-6478
Mailing address
4340 PARKDALE AVE, LAS VEGAS, NV 89121-2647
(702) 499-6478
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
RC1562
NV
Other
Enumeration date
07/10/2021
Last updated
07/10/2021
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