Individual
SHANTA LATONI MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4029 PEPPER THORN AVE UNIT 102, NORTH LAS VEGAS, NV 89081-3810
(702) 818-0383
Mailing address
4029 PEPPER THORN AVE UNIT 102, NORTH LAS VEGAS, NV 89081-3810
(702) 818-0383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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