Individual
STACY LOUISE KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5135 CAMINO AL NORTE STE 150, NORTH LAS VEGAS, NV 89031-2388
(702) 853-6714
Mailing address
5135 CAMINO AL NORTE STE 150, NORTH LAS VEGAS, NV 89031-2388
(702) 853-6714
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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