STACY NICOLE KISOR

LAS VEGAS, NV
NPI1770829061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WA  SI 60298212)
Enumeration Date2012-12-14
Last Update Date2020-02-26
Business Address
Mrs. STACY NICOLE KISOR
5516 S FORT APACHE RD STE 130
LAS VEGAS, NV 89148-7679
Phone number: 702-641-8255
Mailing Address
Mrs. STACY NICOLE KISOR
5516 S FORT APACHE RD STE 130
LAS VEGAS, NV 89148-7679
Phone number: 702-641-8255