Individual
SHAUNTE BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
250 PILOT RD STE 250, LAS VEGAS, NV 89119-3514
(702) 982-3292
(702) 982-5286
Mailing address
4555 CAMINO AL NORTE UNIT 1102, NORTH LAS VEGAS, NV 89031-2427
(210) 708-4199
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
861660
NV
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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