Individual
SHANTALLE BELEN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7365 PRAIRIE FALCON RD STE 110, LAS VEGAS, NV 89128-0808
(702) 462-5252
Mailing address
11848 ORENSE DR, LAS VEGAS, NV 89138-4563
(830) 391-5956
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-4601
NV
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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