Individual
SHADARIER RANCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
946 E ST, SPARKS, NV 89431-0816
(775) 250-5505
Mailing address
1285 BARING BLVD # 157, SPARKS, NV 89434-8673
(775) 250-5505
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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