Individual
CARISSA A SHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 IRONWOOD DR, LAS VEGAS, NV 89108-1109
(319) 404-9475
Mailing address
912 IRONWOOD DR, LAS VEGAS, NV 89108-1109
(319) 404-9475
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11040
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
02/05/2022
Last updated
02/05/2022
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