Individual
SHAWN CAROL MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9131 IVORY BEACH DR, LAS VEGAS, NV 89147-6802
(702) 324-3534
Mailing address
9131 IVORY BEACH DR, LAS VEGAS, NV 89147-6802
(702) 324-3534
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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