Individual
LARISSA A MCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 W LAKE MEAD PKWY, SUITE 2, HENDERSON, NV 89015-6954
(702) 564-6712
Mailing address
221 VIEWMONT DR, HENDERSON, NV 89015-7733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2278
NV
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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