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Individual

KIMBERLY ANN LARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1231 E BASIN AVE STE 2, PAHRUMP, NV 89060-4602
(702) 218-3220
Mailing address
1611 GEE ST, PAHRUMP, NV 89060-2913
(702) 218-3220

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11731
NV

Other

Enumeration date
03/15/2025
Last updated
03/15/2025
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