Individual
MIKANEISHA SENCERE SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3975 N NELLIS BLVD, LAS VEGAS, NV 89115-2725
(424) 449-5271
Mailing address
3975 N NELLIS BLVD, LAS VEGAS, NV 89115-2725
(424) 449-5271
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NO
N/A
NV
Enumeration date
05/06/2022
Last updated
05/06/2022
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