Larissa Crystal Brandom
Larissa Crystal Brandom is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
6889 S Eastern AveLas Vegas, NV 89119
Phone: (702) 750-4490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1912328519 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 27, 2013 |
| Last updated in NPPES | December 27, 2013 |
| Mailing address | 1001 Dumont Blvd Apt 166, Las Vegas, NV 89169 |
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