Individual
SHANNON BENES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
571 STONEHENGE WALK AVE, LAS VEGAS, NV 89178-1295
(702) 372-4282
Mailing address
571 STONEHENGE WALK AVE, LAS VEGAS, NV 89178-1295
(702) 372-4282
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10118
NV
Other
Enumeration date
05/03/2021
Last updated
05/25/2021
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