Individual
SHANISE MARIE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 S 10TH ST APT A, LAS VEGAS, NV 89101-7044
(702) 462-6630
(702) 462-6634
Mailing address
510 S 10TH ST APT A, LAS VEGAS, NV 89101-7044
(702) 462-6630
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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