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Individual

JSHAUNTAE MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1230 W OWENS AVE STE 1, LAS VEGAS, NV 89106-2451
(725) 204-0850
Mailing address
8046 PAVAROTTI AVE, LAS VEGAS, NV 89178-8264
(702) 337-4793

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
174N00000X
Lactation Consultant (Non-RN)
261QB0400X
Birthing Clinic/Center
374J00000X
Doula
Primary
CA

Other

Enumeration date
01/11/2024
Last updated
06/23/2024
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