LARISSA CRYSTAL BRANDOM

LAS VEGAS, NV
NPI1912328519
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2013-12-27
Last Update Date2013-12-27
Business Address
-- LARISSA CRYSTAL BRANDOM
6889 S. EASTERN AVE
LAS VEGAS, NV 89119
Phone number: 702-750-4490
Mailing Address
-- LARISSA CRYSTAL BRANDOM
1001 DUMONT BLVD APT 166
LAS VEGAS, NV 89169
Phone number: 702-750-4490
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