Individual
MS. SHADELL ANEICE KINCADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4485 PENNWOOD AVE APT 182, LAS VEGAS, NV 89102-7213
(562) 206-5578
Mailing address
4485 PENNWOOD AVE APT 182, LAS VEGAS, NV 89102-7213
(562) 206-5578
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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