Individual
SHIRLEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2452 DAKS LODEN CT, HENDERSON, NV 89044-8767
(702) 208-3768
Mailing address
2452 DAKS LODEN CT, HENDERSON, NV 89044-8767
(702) 208-3768
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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