Individual
KIRSTEN MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2112 N NELLIS BLVD, LAS VEGAS, NV 89115-5507
(702) 291-7121
Mailing address
1608 SHADOW DANCER ST, LAS VEGAS, NV 89128-8279
(702) 265-2979
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/01/2025
Last updated
11/01/2025
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