Individual
ADELFA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
336 S JONES BLVD, LAS VEGAS, NV 89107-2623
(702) 750-7910
Mailing address
6953 ATRIUM AVE, LAS VEGAS, NV 89108-0301
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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