Individual
AUDREY ADELE SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5227 FOG RUN CT, NORTH LAS VEGAS, NV 89031-0515
(702) 776-1132
Mailing address
5227 FOG RUN CT, NORTH LAS VEGAS, NV 89031-0515
(702) 776-1132
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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