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Individual

KRISTIN KAY ROSEQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7473 W LAKE MEAD BLVD, SUITE 21, LAS VEGAS, NV 89128-0265
(702) 562-1248
(702) 562-1249
Mailing address
7473 W LAKE MEAD BLVD, SUITE 21, LAS VEGAS, NV 89128-0265
(702) 562-1248
(702) 562-1249

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225400000X
NV
Enumeration date
02/01/2011
Last updated
03/30/2011
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