Individual
KASRA MAHMOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5967 ROSANNA ST, LAS VEGAS, NV 89113-0267
(330) 396-9428
Mailing address
5967 ROSANNA ST, LAS VEGAS, NV 89113-0267
(330) 396-9428
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
09/11/2025
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