Individual
SHANNON PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935 CANTABRIA HEIGHTS AVE, LAS VEGAS, NV 89183-4646
(702) 510-1564
Mailing address
935 CANTABRIA HEIGHTS AVE, LAS VEGAS, NV 89183-4646
(702) 510-1564
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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