Individual
SHALITHE WAITERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 MALIBU SANDS AVE, NORTH LAS VEGAS, NV 89086-1327
(773) 621-2332
Mailing address
1205 MALIBU SANDS AVE, NORTH LAS VEGAS, NV 89086-1327
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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