Rhonda Shade

NPI #1922342658 in Pahrump, Nevada

Provider Information

NPI Number: 1922342658
Entity Type: Individual
Name: Rhonda Shade
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Rehabilitation Practitioner
Enumeration Date: Nov 19, 2012
Last Updated: Nov 19, 2012

Practice Location

Address: 50 EMERY ST # 421
City: Pahrump
State: Nevada
ZIP Code: 89048-4668
Phone: (760) 600-0619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Practitioner	225400000X	Primary

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