Individual
SHANTOYA VICTORIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4980 E OWENS AVE APT 6A, LAS VEGAS, NV 89110-1512
(702) 728-0054
Mailing address
4980 E OWENS AVE APT 6A, LAS VEGAS, NV 89110-1512
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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