LARISSA IVANOVNA RUN

LAS VEGAS, NV
NPI1225337132
Former NameLARISSA IVANOVNA RUN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NV  PA1268)
Additional Taxonomies174400000X Specialist
(Licence: NV  PA1268)
Enumeration Date2011-03-17
Last Update Date2024-10-10
Business Address
Mrs. LARISSA IVANOVNA RUN PA-C
9701 WEST FLAMINGO RD #4
LAS VEGAS, NV 89147
Phone number: 702-240-3929
Mailing Address
Mrs. LARISSA IVANOVNA RUN PA-C
9701 WEST FLAMINGO RD #4
LAS VEGAS, NV 89147
Phone number: 702-240-3929