Individual
TERRANCE J SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1489 W WARM SPRINGS RD, 110, HENDERSON, NV 89014-7635
(702) 561-7395
Mailing address
1489 W WARM SPRINGS RD, 110, HENDERSON, NV 89014-7635
(702) 561-7395
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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