Individual
SHAWNA MICHELLE SOGOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QBA
Contact information
Practice address
1701 W CHARLESTON BLVD STE 300, LAS VEGAS, NV 89102-2313
(702) 251-8000
Mailing address
4623 W DESERT INN RD, LAS VEGAS, NV 89102-7116
(209) 589-5213
(702) 410-9644
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
07/02/2024
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