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Individual

SHAVONNDA LYNN YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3912 WABASH LN, NORTH LAS VEGAS, NV 89032-0453
(702) 577-5583
Mailing address
3912 WABASH LN, NORTH LAS VEGAS, NV 89032-0453
(702) 577-5583

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
07/12/2012
Last updated
07/12/2012
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