Individual
SHANNON LETECIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 E CHARLESTON BLVD STE 230, LAS VEGAS, NV 89104-6682
(702) 968-4000
(702) 968-5050
Mailing address
4000 E CHARLESTON BLVD STE 230, LAS VEGAS, NV 89104-6682
(702) 968-4000
(702) 968-5050
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
261QM0801X
NV
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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