Individual
JOSE JUAN LARA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2968 E RUSSELL RD, LAS VEGAS, NV 89120-2453
(702) 283-2039
Mailing address
2968 E RUSSELL RD, LAS VEGAS, NV 89120-2453
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
838679
NV
163WH0200X
Home Health Registered Nurse
Primary
838679
NV
Other
Enumeration date
05/02/2025
Last updated
05/05/2025
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