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Individual

MR. SHAWN JOSHUA RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2842 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-6548
(702) 749-8500
(702) 748-8509
Mailing address
2842 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-6548
(702) 749-8500
(702) 748-8509

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
05/31/2019
Last updated
06/11/2020
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