Individual
SHALA PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6889 S EASTERN AVE, LAS VEGAS, NV 89119-4687
(702) 434-1200
Mailing address
6889 S. EASTERN AVE., LAS VEGAS, NV 89119
(702) 434-1200
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
225400000X
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NO OTHER IDENTIFIERS
—
NV
Enumeration date
06/17/2015
Last updated
06/17/2015
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