Shanae Ebony Glass
NPI #1164055919 in North Las Vegas, Nevada
Provider Information
- NPI Number
- 1164055919
- Entity Type
- Individual
- Name
- Shanae Ebony Glass
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 20, 2020
- Last Updated
- Feb 20, 2020
Practice Location
- Address
- 2580 NORTH RANCHO
- Address 2
- SUITE 105-106
- City
- North Las Vegas
- State
- Nevada
- ZIP Code
- 89032
- Phone
- (702) 475-4175
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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