Individual
MRS. SHAUNTEE WILSON-KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 REV WILSON AVE, N LAS VEGAS, NV 89030-3911
(702) 286-7069
Mailing address
512 REV WILSON AVE, N LAS VEGAS, NV 89030-3911
(702) 286-7069
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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