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Individual

DR. SHANEE MICHELLE PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 671-2385
(702) 671-2333
Mailing address
1701 W CHARLESTON BLVD, #215, LAS VEGAS, NV 89102-2325
(702) 671-2395
(702) 382-5388

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A100836
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LL1606
MEDICAL LICENSE
NV
Enumeration date
03/16/2007
Last updated
04/09/2024
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