Individual
SHANNON TABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 W HORIZON RIDGE PKWY UNIT 6202, HENDERSON, NV 89012-5213
(321) 405-7274
Mailing address
540 W HORIZON RIDGE PKWY UNIT 6202, HENDERSON, NV 89012-5213
(321) 405-7274
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
830339
NV
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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