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Individual

MRS. KIMBERLEY NICOLE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6889 S EASTERN AVE, LAS VEGAS, NV 89119-4687
(702) 434-1200
Mailing address
1346 CHESTNUT LN, BOULDER CITY, NV 89005-3108
(702) 501-5759

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
02/25/2014
Last updated
02/25/2014
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