Individual
JASMINE LAVARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
400 N PALO DRIVE, HENDERSON, NV 89015
(702) 799-8000
Mailing address
6840 FRANCES CELIA AVE, LAS VEGAS, NV 89122-8613
(702) 972-6234
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506697
NV
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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