Individual
SHANNON P HAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4440 S MARYLAND PKWY, SUITE 101, LAS VEGAS, NV 89119-7527
(702) 400-6311
(702) 642-5722
Mailing address
800 N RAINBOW BLVD, 158, LAS VEGAS, NV 89107-1189
(702) 655-7466
(702) 642-5722
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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