Individual
MALIA SHATEE VENERABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5150 S PECOS RD, LAS VEGAS, NV 89120-1237
(702) 483-5919
Mailing address
5051 S. PECOS RD, LAS VEGAS, NV 89120
(702) 483-5919
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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