Individual
MISS KIMBERLY STAR HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9925 W RUSSELL RD UNIT 2081, LAS VEGAS, NV 89148-5604
(702) 684-1771
Mailing address
9925 W RUSSELL RD UNIT 2081, LAS VEGAS, NV 89148-5604
(702) 684-1771
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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