Individual
SHANE BUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
29 CHASTAIN PARK DR, NORTH LAS VEGAS, NV 89084-2506
(808) 276-3392
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0940
NV
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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