Individual
SHANEKA P BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5105 SMOKE RANCH RD, LAS VEGAS, NV 89108-3536
(702) 638-0395
(702) 638-0362
Mailing address
5105 SMOKE RANCH RD, LAS VEGAS, NV 89108-3536
(702) 638-0395
(702) 638-0362
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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