Individual
JOE DEAN SHAW II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 15TH ST, SPARKS, NV 89431-0939
(775) 378-1916
Mailing address
10060 RACCOON CT, RENO, NV 89523-9605
(775) 378-1916
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/09/2022
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