Individual
MRS. SHAWNTAY GINETTE SKELTON-TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7381 PRAIRIE FALCON RD, SUITE 110, LAS VEGAS, NV 89128-0811
(702) 646-5437
Mailing address
240 HUMAHUACA ST, PAHRUMP, NV 89048-2199
(775) 751-7406
(775) 751-7409
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2012
Last updated
12/28/2015
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