Individual
MISS SHELLTYSHU MARIE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4121 CALIFORNIA CONDOR AVE, NORTH LAS VEGAS, NV 89084-4804
(702) 232-4293
Mailing address
4121 CALIFORNIA CONDOR AVE, NORTH LAS VEGAS, NV 89084-4804
(702) 232-4293
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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