Individual
LATISA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
960 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 848-2403
Mailing address
960 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 848-2403
(702) 646-6119
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
03/04/2021
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