Individual
SANDRA LYNN SHIRLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6630 S MCCARRAN BLVD, SUITE B18, RENO, NV 89509-6135
(775) 823-1990
(775) 823-1974
Mailing address
PO BOX 20819, RENO, NV 89515-0819
(775) 823-1990
(775) 823-1974
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA659
NV
Other
Enumeration date
06/11/2006
Last updated
07/08/2007
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