Individual
SHALENE MARAE SMITH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6889 S EASTERN AVE, LAS VEGAS, NV 89119-4687
(702) 434-1200
Mailing address
3220 UNICORN AVE, PAHRUMP, NV 89048-6340
(702) 525-8934
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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