Individual
SHIBA AMEZCUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5258 S EASTERN AVE STE 105, LAS VEGAS, NV 89119-2327
(702) 464-5080
Mailing address
5258 S EASTERN AVE STE 105, LAS VEGAS, NV 89119-2327
(702) 464-5080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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