Individual
SHAUNTA MARIE GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2961 SAVERS CT, LAS VEGAS, NV 89115-7444
(702) 588-3742
Mailing address
2961 SAVERS CT, LAS VEGAS, NV 89115-7444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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