Individual
SHAWNA RAE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2809 W CHARLESTON BLVD, SUITE 150, LAS VEGAS, NV 89102-1998
(702) 476-9999
(702) 946-1343
Mailing address
2809 W CHARLESTON BLVD, SUITE 150, LAS VEGAS, NV 89102-1998
(702) 476-9999
(702) 946-1343
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA734
NV
Other
Enumeration date
11/09/2005
Last updated
01/16/2019
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