Most Relevant Information
Provider Data
| NPI Number: | 1003237629 |
| Provider Name: | JENEITH SHANNON |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/27/2013 |
| Last Updated: | 12/27/2013 |
Provider Practice Location
5860 S PECOS RD
LAS VEGAS
NV
891205428
Practice Location Phone/Fax
| Phone: | 7025389474 |
| Fax: | 7028348437 |
Provider Mailing Location
5860 S PECOS RD
LAS VEGAS
NV
891205428
Provider Mailing Phone/Fax
| Phone: | 7025389474 |
| Fax: | 7028348437 |