Individual
SHANIECA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3653 LUCKY HORSESHOE CT, LAS VEGAS, NV 89129-6856
(702) 986-5292
Mailing address
3653 LUCKY HORSESHOE CT, LAS VEGAS, NV 89129
(702) 986-5292
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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