Individual
SHANICE WORTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 N 26TH ST, LAS VEGAS, NV 89101-4619
(562) 589-2344
Mailing address
25 N 26TH ST, LAS VEGAS, NV 89101-4619
(562) 589-2344
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
3981965
NV
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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