Individual
MRS. MYA SHANICE MCMILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 W ANN RD, NORTH LAS VEGAS, NV 89031-3839
(702) 437-4673
Mailing address
806 W MCWILLIAMS AVE, LAS VEGAS, NV 89106-3500
(702) 913-2557
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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