Kimberly Ann Lara

NPI #1740080134 in Pahrump, Nevada

Provider Information

NPI Number: 1740080134
Entity Type: Individual
Name: Kimberly Ann Lara
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Mar 15, 2025
Last Updated: Mar 15, 2025

Practice Location

Address: 1231 E BASIN AVE STE 2
City: Pahrump
State: Nevada
ZIP Code: 89060-4602
Phone: (702) 218-3220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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