Individual
MELANIE HELEN DE SHADAREVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4194
(702) 388-8437
Mailing address
620 SHADOW LN, LAS VEGAS, NV 89106-4194
(702) 388-8437
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
01/07/2025
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