Individual
SHARI TRANEE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 SIMMONS ST #1016, LAS VEGAS, NV 89106
(702) 292-7146
Mailing address
1915 SIMMONS ST APT 1016, LAS VEGAS, NV 89106-1550
(702) 292-7146
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
261QH100X
CA
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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