Individual
YSHMAELLE KIM LOIS LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
678 LUCKY PINE ST, HENDERSON, NV 89002-3300
(702) 906-6411
Mailing address
678 LUCKY PINE ST, HENDERSON, NV 89002-3300
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
894026
NV
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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