Individual
MYLTREDA MARSHELL SLOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2780 HOMESTEAD ROAD, SUITE 201, PAHRUMP, NV 89048
(775) 727-0101
Mailing address
520 JARVIS RD, PAHRUMP, NV 89060-2573
(775) 751-3267
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2254400000X
—
NV
Enumeration date
05/26/2011
Last updated
05/26/2011
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