Individual
SKYLAR JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6652 LOMBARD DR, LAS VEGAS, NV 89108-2742
(702) 539-2652
Mailing address
6652 LOMBARD DR, LAS VEGAS, NV 89108-2742
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506691
NV
Other
Enumeration date
03/26/2021
Last updated
08/04/2022
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