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Individual

MISS RASHONDA D MUCKELROY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RASHONDA MUCKELROY

Contact information

Practice address
5575 SIMMONS ST, #1-159, NORTH LAS VEGAS, NV 89031-9009
(702) 722-8735
Mailing address
5575 SIMMONS ST, #1-159, NORTH LAS VEGAS, NV 89031-9009
(702) 722-8735

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1703355243
NV

Other

Enumeration date
11/25/2012
Last updated
11/25/2012
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