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Individual

MS. SHANICE CHEDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
9108 PINE MISSION AVE, LAS VEGAS, NV 89143-1178
(702) 639-7472
Mailing address
9108 PINE MISSION AVE, LAS VEGAS, NV 89143-1178

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0506451
NV
2255A2300X
Athletic Trainer
Primary
2017024881
MO

Other

Enumeration date
02/14/2018
Last updated
02/14/2018
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