Individual
NICOLE SIMONE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 BASIN BROOK DR, NORTH LAS VEGAS, NV 89032-7850
(725) 200-8764
Mailing address
1406 BASINBROOK ST, LAS VEGAS, NV 89032
(725) 200-8764
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NV
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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