Individual
SHAKUR J DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A
Contact information
Practice address
4760 S PECOS RD STE 203-1, LAS VEGAS, NV 89121-6038
(702) 966-6306
Mailing address
4760 S PECOS RD STE 203-1, LAS VEGAS, NV 89121-6038
(702) 966-6306
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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