Individual
LILLIAN SHANNON GOINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5026 N VALADEZ ST, LAS VEGAS, NV 89149-5247
(702) 286-2987
Mailing address
3167 LA MANCHA WAY, HENDERSON, NV 89014-3654
(702) 286-2987
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
E7994222020-5
NV
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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