Individual
SHELBY E REAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
973 MICA DRIVE, SUITE 201, CARSON CITY, NV 89705-7258
(775) 783-6190
Mailing address
973 MICA DR STE 201, CARSON CITY, NV 89705-7258
(775) 783-6190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2041
NV
Other
Enumeration date
11/13/2018
Last updated
07/21/2021
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