Jeneith Shannon

NPI #1003237629 in Las Vegas, Nevada

Provider Information

NPI Number
1003237629
Entity Type
Individual
Name
Jeneith Shannon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Rehabilitation Practitioner
Enumeration Date
Dec 27, 2013
Last Updated
Dec 27, 2013

Practice Location

Address
5860 S PECOS RD
State
Nevada
ZIP Code
89120-5428
Phone
(702) 538-9474

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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