Individual
SHANTE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2313 MOUNT HOLLY CT, LAS VEGAS, NV 89128-6845
(702) 982-9935
Mailing address
2313 MOUNT HOLLY CT, LAS VEGAS, NV 89128-6845
(702) 982-9935
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11-1042
NV
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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