Individual
SHAVON GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S RANCHO DR STE E2B, LAS VEGAS, NV 89106-3812
(702) 771-5578
(702) 771-5578
Mailing address
91 CHURCH ST, HENDERSON, NV 89015-5331
(714) 443-8638
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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