Individual
ZANEQWAH SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3933 LAZY PINE ST UNIT 201, LAS VEGAS, NV 89108
(702) 860-9713
Mailing address
3933 LAZY PINE ST UNIT 201, LAS VEGAS, NV 89108-8165
(702) 860-9713
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
05/28/2018
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