Individual
KIANA SHANTE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 754-0807
Mailing address
8684 TRAVELING BREEZE AVE UNIT 103, LAS VEGAS, NV 89178-7706
(337) 936-9724
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/25/2024
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